How much rates vary
Facilitymedian $3,548 · 10th to 90th $2,754 to $9,772Professionalmedian $3,311 · 10th to 90th $2,570 to $7,586
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 $2,137.96 Median $2,570.40 Typical High $3,715.35 | Facility | None | $2,137.96 | $2,570.40 | $3,715.35 |
Aetna Setting Professional Modifier None Typical Low $2,570.40 Median $2,570.40 Typical High $3,715.35 | Professional | None | $2,570.40 | $2,570.40 | $3,715.35 |
Anthem BCBS Setting Facility Modifier None Typical Low $6,025.60 Median $6,025.60 Typical High $12,022.64 | Facility | None | $6,025.60 | $6,025.60 | $12,022.64 |
Anthem BCBS Setting Professional Modifier None Typical Low $2,691.53 Median $2,754.23 Typical High $10,000.00 | Professional | None | $2,691.53 | $2,754.23 | $10,000.00 |
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 $4,897.79 Median $4,897.79 Typical High $4,897.79 | Professional | None | $4,897.79 | $4,897.79 | $4,897.79 |
Cigna Setting Facility Modifier None Typical Low $2,754.23 Median $2,754.23 Typical High $3,090.30 | Facility | None | $2,754.23 | $2,754.23 | $3,090.30 |
Cigna 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 |
Emblem Health Setting Facility Modifier None Typical Low $6,025.60 Median $9,772.37 Typical High $21,379.62 | Facility | None | $6,025.60 | $9,772.37 | $21,379.62 |
Emblem Health Setting Professional Modifier None Typical Low $3,890.45 Median $6,025.60 Typical High $10,471.29 | Professional | None | $3,890.45 | $6,025.60 | $10,471.29 |
Excellus BCBS 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 |
Excellus BCBS Setting Professional Modifier None Typical Low $3,548.13 Median $3,548.13 Typical High $4,897.79 | Professional | None | $3,548.13 | $3,548.13 | $4,897.79 |
MVP Health Care Setting Facility Modifier None Typical Low $7,585.78 Median $7,585.78 Typical High $7,585.78 | Facility | None | $7,585.78 | $7,585.78 | $7,585.78 |
MVP Health Care Setting Professional Modifier None Typical Low $3,467.37 Median $3,467.37 Typical High $8,709.64 | Professional | None | $3,467.37 | $3,467.37 | $8,709.64 |
United Setting Facility Modifier None Typical Low $2,454.71 Median $2,511.89 Typical High $7,244.36 | Facility | None | $2,454.71 | $2,511.89 | $7,244.36 |
United Setting Professional Modifier None Typical Low $1,949.84 Median $3,311.31 Typical High $3,981.07 | Professional | None | $1,949.84 | $3,311.31 | $3,981.07 |
Univera Setting Facility Modifier None Typical Low $3,548.13 Median $3,548.13 Typical High $3,630.78 | Facility | None | $3,548.13 | $3,548.13 | $3,630.78 |
Univera Setting Professional Modifier None Typical Low $3,548.13 Median $3,548.13 Typical High $4,897.79 | Professional | None | $3,548.13 | $3,548.13 | $4,897.79 |
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 $1,258.93 Median $1,258.93 Typical High $1,862.09 | Professional | 52 · Reduced service | $1,258.93 | $1,258.93 | $1,862.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $512.86 Median $512.86 Typical High $741.31 | Professional | 53 · Discontinued | $512.86 | $512.86 | $741.31 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $380.19 Median $380.19 Typical High $549.54 | Professional | 55 · Aftercare only | $380.19 | $380.19 | $549.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $257.04 Median $257.04 Typical High $371.54 | Professional | 56 · Pre-op care only | $257.04 | $257.04 | $371.54 |
Where New York sits
The same service costs 2.8 times more in Wyoming 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· 22nd of 51
$3,311
WY $5,754DE $2,042
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.