How much rates vary
Facilitymedian $2,818 · 10th to 90th $2,512 to $7,413Professionalmedian $2,754 · 10th to 90th $1,905 to $6,607
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $1,621.81 Median $1,905.46 Typical High $2,754.23 | Facility | None | $1,621.81 | $1,905.46 | $2,754.23 |
Aetna Setting Professional Modifier None Typical Low $1,905.46 Median $1,905.46 Typical High $2,754.23 | Professional | None | $1,905.46 | $1,905.46 | $2,754.23 |
Anthem BCBS Setting Facility Modifier None Typical Low $4,466.84 Median $4,570.88 Typical High $8,912.51 | Facility | None | $4,466.84 | $4,570.88 | $8,912.51 |
Anthem BCBS Setting Professional Modifier None Typical Low $2,754.23 Median $2,754.23 Typical High $8,128.31 | Professional | None | $2,754.23 | $2,754.23 | $8,128.31 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $269.15 Median $269.15 Typical High $588.84 | Professional | RR · Rental | $269.15 | $269.15 | $588.84 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $2,041.74 Median $2,041.74 Typical High $3,630.78 | Professional | UE · Used equipment | $2,041.74 | $2,041.74 | $3,630.78 |
CDPHP Setting Professional Modifier None Typical Low $3,630.78 Median $3,630.78 Typical High $3,630.78 | Professional | None | $3,630.78 | $3,630.78 | $3,630.78 |
Cigna Setting Facility Modifier None Typical Low $2,511.89 Median $2,511.89 Typical High $2,754.23 | Facility | None | $2,511.89 | $2,511.89 | $2,754.23 |
Cigna Setting Professional Modifier None Typical Low $1,819.70 Median $1,819.70 Typical High $1,819.70 | Professional | None | $1,819.70 | $1,819.70 | $1,819.70 |
Emblem Health Setting Facility Modifier None Typical Low $4,466.84 Median $7,413.10 Typical High $16,218.10 | Facility | None | $4,466.84 | $7,413.10 | $16,218.10 |
Emblem Health Setting Professional Modifier None Typical Low $2,884.03 Median $4,466.84 Typical High $7,943.28 | Professional | None | $2,884.03 | $4,466.84 | $7,943.28 |
Excellus BCBS Setting Facility Modifier None Typical Low $2,818.38 Median $2,818.38 Typical High $2,818.38 | Facility | None | $2,818.38 | $2,818.38 | $2,818.38 |
Excellus BCBS Setting Professional Modifier None Typical Low $2,630.27 Median $2,818.38 Typical High $3,630.78 | Professional | None | $2,630.27 | $2,818.38 | $3,630.78 |
MVP Health Care Setting Facility Modifier None Typical Low $6,025.60 Median $6,025.60 Typical High $6,025.60 | Facility | None | $6,025.60 | $6,025.60 | $6,025.60 |
MVP Health Care Setting Professional Modifier None Typical Low $2,691.53 Median $2,691.53 Typical High $6,456.54 | Professional | None | $2,691.53 | $2,691.53 | $6,456.54 |
United Setting Facility Modifier None Typical Low $2,187.76 Median $5,495.41 Typical High $7,079.46 | Facility | None | $2,187.76 | $5,495.41 | $7,079.46 |
United Setting Professional Modifier None Typical Low $1,445.44 Median $2,691.53 Typical High $3,090.30 | Professional | None | $1,445.44 | $2,691.53 | $3,090.30 |
Univera Setting Facility Modifier None Typical Low $2,630.27 Median $2,818.38 Typical High $2,818.38 | Facility | None | $2,630.27 | $2,818.38 | $2,818.38 |
Univera Setting Professional Modifier None Typical Low $2,630.27 Median $2,818.38 Typical High $3,630.78 | Professional | None | $2,630.27 | $2,818.38 | $3,630.78 |
4 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $954.99 Median $954.99 Typical High $1,380.38 | Professional | 52 · Reduced service | $954.99 | $954.99 | $1,380.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $380.19 Median $380.19 Typical High $549.54 | Professional | 53 · Discontinued | $380.19 | $380.19 | $549.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $288.40 Median $288.40 Typical High $416.87 | Professional | 55 · Aftercare only | $288.40 | $288.40 | $416.87 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $190.55 Median $190.55 Typical High $275.42 | Professional | 56 · Pre-op care only | $190.55 | $190.55 | $275.42 |
Where New York sits
The same service costs 2.6 times more in Hawaii than in Delaware. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
New York· 26th of 51
$2,754
HI $4,786DE $1,820
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.