How much rates vary
Facilitymedian $2,818 · 10th to 90th $2,239 to $6,310Professionalmedian $2,291 · 10th to 90th $1,820 to $5,370
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 $1,380.38 Median $1,621.81 Typical High $2,344.23 | Facility | None | $1,380.38 | $1,621.81 | $2,344.23 |
Aetna Setting Professional Modifier None Typical Low $1,621.81 Median $1,621.81 Typical High $2,344.23 | Professional | None | $1,621.81 | $1,621.81 | $2,344.23 |
Anthem BCBS Setting Facility Modifier None Typical Low $3,801.89 Median $3,890.45 Typical High $7,585.78 | Facility | None | $3,801.89 | $3,890.45 | $7,585.78 |
Anthem BCBS Setting Professional Modifier None Typical Low $2,041.74 Median $2,041.74 Typical High $6,606.93 | Professional | None | $2,041.74 | $2,041.74 | $6,606.93 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $204.17 Median $204.17 Typical High $446.68 | Professional | RR · Rental | $204.17 | $204.17 | $446.68 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1,548.82 Median $1,548.82 Typical High $2,754.23 | Professional | UE · Used equipment | $1,548.82 | $1,548.82 | $2,754.23 |
CDPHP Setting Professional Modifier None Typical Low $3,090.30 Median $3,090.30 Typical High $3,090.30 | Professional | None | $3,090.30 | $3,090.30 | $3,090.30 |
Cigna Setting Facility Modifier None Typical Low $2,691.53 Median $2,691.53 Typical High $2,951.21 | Facility | None | $2,691.53 | $2,691.53 | $2,951.21 |
Cigna Setting Professional Modifier None Typical Low $1,949.84 Median $1,949.84 Typical High $1,949.84 | Professional | None | $1,949.84 | $1,949.84 | $1,949.84 |
Emblem Health Setting Facility Modifier None Typical Low $3,801.89 Median $6,309.57 Typical High $13,803.84 | Facility | None | $3,801.89 | $6,309.57 | $13,803.84 |
Emblem Health Setting Professional Modifier None Typical Low $2,454.71 Median $3,801.89 Typical High $6,760.83 | Professional | None | $2,454.71 | $3,801.89 | $6,760.83 |
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 $2,238.72 Median $2,818.38 Typical High $3,090.30 | Professional | None | $2,238.72 | $2,818.38 | $3,090.30 |
MVP Health Care Setting Facility Modifier None Typical Low $6,165.95 Median $6,165.95 Typical High $6,165.95 | Facility | None | $6,165.95 | $6,165.95 | $6,165.95 |
MVP Health Care Setting Professional Modifier None Typical Low $2,290.87 Median $2,290.87 Typical High $5,623.41 | Professional | None | $2,290.87 | $2,290.87 | $5,623.41 |
United Setting Facility Modifier None Typical Low $1,819.70 Median $4,570.88 Typical High $6,025.60 | Facility | None | $1,819.70 | $4,570.88 | $6,025.60 |
United Setting Professional Modifier None Typical Low $1,258.93 Median $2,290.87 Typical High $2,630.27 | Professional | None | $1,258.93 | $2,290.87 | $2,630.27 |
Univera Setting Facility Modifier None Typical Low $2,137.96 Median $2,818.38 Typical High $2,818.38 | Facility | None | $2,137.96 | $2,818.38 | $2,818.38 |
Univera Setting Professional Modifier None Typical Low $2,238.72 Median $2,818.38 Typical High $3,090.30 | Professional | None | $2,238.72 | $2,818.38 | $3,090.30 |
2 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 55 · Aftercare only Typical Low $245.47 Median $245.47 Typical High $354.81 | Professional | 55 · Aftercare only | $245.47 | $245.47 | $354.81 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $162.18 Median $162.18 Typical High $234.42 | Professional | 56 · Pre-op care only | $162.18 | $162.18 | $234.42 |
Where New York sits
The same service costs 2.1 times more in Hawaii than in New Jersey. 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· 28th of 51
$2,291
HI $4,074NJ $1,950
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.