How much rates vary
Facilitymedian $1,660 · 10th to 90th $1,479 to $4,074Professionalmedian $1,479 · 10th to 90th $1,202 to $3,548
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 $891.25 Median $1,071.52 Typical High $1,548.82 | Facility | None | $891.25 | $1,071.52 | $1,548.82 |
Aetna Setting Professional Modifier None Typical Low $1,071.52 Median $1,071.52 Typical High $1,548.82 | Professional | None | $1,071.52 | $1,071.52 | $1,548.82 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,511.89 Median $2,570.40 Typical High $5,011.87 | Facility | None | $2,511.89 | $2,570.40 | $5,011.87 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,380.38 Median $1,380.38 Typical High $4,365.16 | Professional | None | $1,380.38 | $1,380.38 | $4,365.16 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $138.04 Median $138.04 Typical High $302.00 | Professional | RR · Rental | $138.04 | $138.04 | $302.00 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1,023.29 Median $1,023.29 Typical High $1,862.09 | Professional | UE · Used equipment | $1,023.29 | $1,023.29 | $1,862.09 |
CDPHP Setting Professional Modifier None Typical Low $2,041.74 Median $2,041.74 Typical High $2,041.74 | Professional | None | $2,041.74 | $2,041.74 | $2,041.74 |
Cigna Setting Facility Modifier None Typical Low $1,659.59 Median $1,659.59 Typical High $1,819.70 | Facility | None | $1,659.59 | $1,659.59 | $1,819.70 |
Cigna Setting Professional Modifier None Typical Low $1,202.26 Median $1,202.26 Typical High $1,202.26 | Professional | None | $1,202.26 | $1,202.26 | $1,202.26 |
Emblem Health Setting Facility Modifier None Typical Low $2,511.89 Median $4,073.80 Typical High $8,912.51 | Facility | None | $2,511.89 | $4,073.80 | $8,912.51 |
Emblem Health Setting Professional Modifier None Typical Low $1,621.81 Median $2,691.53 Typical High $4,365.16 | Professional | None | $1,621.81 | $2,691.53 | $4,365.16 |
Excellus BCBS Setting Facility Modifier None Typical Low $1,659.59 Median $1,659.59 Typical High $1,659.59 | Facility | None | $1,659.59 | $1,659.59 | $1,659.59 |
Excellus BCBS Setting Professional Modifier None Typical Low $1,479.11 Median $1,659.59 Typical High $2,041.74 | Professional | None | $1,479.11 | $1,659.59 | $2,041.74 |
MVP Health Care Setting Facility Modifier None Typical Low $3,548.13 Median $3,548.13 Typical High $3,548.13 | Facility | None | $3,548.13 | $3,548.13 | $3,548.13 |
MVP Health Care Setting Professional Modifier None Typical Low $1,445.44 Median $1,445.44 Typical High $3,630.78 | Professional | None | $1,445.44 | $1,445.44 | $3,630.78 |
United Setting Facility Modifier None Typical Low $1,202.26 Median $1,513.56 Typical High $3,715.35 | Facility | None | $1,202.26 | $1,513.56 | $3,715.35 |
United Setting Professional Modifier None Typical Low $812.83 Median $1,479.11 Typical High $1,737.80 | Professional | None | $812.83 | $1,479.11 | $1,737.80 |
Univera Setting Facility Modifier None Typical Low $1,479.11 Median $1,659.59 Typical High $1,659.59 | Facility | None | $1,479.11 | $1,659.59 | $1,659.59 |
Univera Setting Professional Modifier None Typical Low $1,479.11 Median $1,659.59 Typical High $2,041.74 | Professional | None | $1,479.11 | $1,659.59 | $2,041.74 |
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 $537.03 Median $537.03 Typical High $776.25 | Professional | 52 · Reduced service | $537.03 | $537.03 | $776.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $213.80 Median $213.80 Typical High $309.03 | Professional | 53 · Discontinued | $213.80 | $213.80 | $309.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $158.49 Median $158.49 Typical High $229.09 | Professional | 55 · Aftercare only | $158.49 | $158.49 | $229.09 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $107.15 Median $107.15 Typical High $154.88 | Professional | 56 · Pre-op care only | $107.15 | $107.15 | $154.88 |
Where New York sits
The same service costs 3.5 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· 32nd of 51
$1,479
HI $4,169DE $1,202
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.