How much rates vary
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 $89.13 Median $107.15 Typical High $154.88 | Facility | None | $89.13 | $107.15 | $154.88 |
Aetna Setting Professional Modifier None Typical Low $107.15 Median $107.15 Typical High $154.88 | Professional | None | $107.15 | $107.15 | $154.88 |
Anthem BCBS Setting Facility Modifier None Typical Low $251.19 Median $251.19 Typical High $501.19 | Facility | None | $251.19 | $251.19 | $501.19 |
Anthem BCBS Setting Professional Modifier None Typical Low $147.91 Median $147.91 Typical High $436.52 | Professional | None | $147.91 | $147.91 | $436.52 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $14.79 Median $14.79 Typical High $32.36 | Professional | RR · Rental | $14.79 | $14.79 | $32.36 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $112.20 Median $112.20 Typical High $199.53 | Professional | UE · Used equipment | $112.20 | $112.20 | $199.53 |
CDPHP Setting Professional Modifier None Typical Low $204.17 Median $204.17 Typical High $204.17 | Professional | None | $204.17 | $204.17 | $204.17 |
Cigna Setting Facility Modifier None Typical Low $158.49 Median $158.49 Typical High $177.83 | Facility | None | $158.49 | $158.49 | $177.83 |
Cigna Setting Professional Modifier None Typical Low $117.49 Median $117.49 Typical High $117.49 | Professional | None | $117.49 | $117.49 | $117.49 |
Emblem Health Setting Facility Modifier None Typical Low $251.19 Median $407.38 Typical High $891.25 | Facility | None | $251.19 | $407.38 | $891.25 |
Emblem Health Setting Professional Modifier None Typical Low $162.18 Median $263.03 Typical High $436.52 | Professional | None | $162.18 | $263.03 | $436.52 |
Excellus BCBS Setting Facility Modifier None Typical Low $177.83 Median $177.83 Typical High $177.83 | Facility | None | $177.83 | $177.83 | $177.83 |
Excellus BCBS Setting Professional Modifier None Typical Low $147.91 Median $177.83 Typical High $204.17 | Professional | None | $147.91 | $177.83 | $204.17 |
MVP Health Care Setting Facility Modifier None Typical Low $380.19 Median $380.19 Typical High $380.19 | Facility | None | $380.19 | $380.19 | $380.19 |
MVP Health Care Setting Professional Modifier None Typical Low $151.36 Median $151.36 Typical High $363.08 | Professional | None | $151.36 | $151.36 | $363.08 |
United Setting Facility Modifier None Typical Low $331.13 Median $331.13 Typical High $426.58 | Facility | None | $331.13 | $331.13 | $426.58 |
United Setting Professional Modifier None Typical Low $81.28 Median $147.91 Typical High $186.21 | Professional | None | $81.28 | $147.91 | $186.21 |
Univera Setting Facility Modifier None Typical Low $138.04 Median $177.83 Typical High $177.83 | Facility | None | $138.04 | $177.83 | $177.83 |
Univera Setting Professional Modifier None Typical Low $147.91 Median $177.83 Typical High $204.17 | Professional | None | $147.91 | $177.83 | $204.17 |
1 more rate 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 |
|---|---|---|---|---|---|
Highmark BCBS Setting Professional Modifier K3 · Prosthesis level 3 Typical Low $199.53 Median $199.53 Typical High $199.53 | Professional | K3 · Prosthesis level 3 | $199.53 | $199.53 | $199.53 |
Where New York sits
The same service costs 3.0 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· 35th of 51
$151
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.