How much rates vary
Facilitymedian $1,288 · 10th to 90th $1,230 to $3,715Professionalmedian $1,318 · 10th to 90th $933 to $2,951
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 $794.33 Median $933.25 Typical High $1,348.96 | Facility | None | $794.33 | $933.25 | $1,348.96 |
Aetna Setting Professional Modifier None Typical Low $933.25 Median $933.25 Typical High $1,348.96 | Professional | None | $933.25 | $933.25 | $1,348.96 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,187.76 Median $2,238.72 Typical High $4,365.16 | Facility | None | $2,187.76 | $2,238.72 | $4,365.16 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,318.26 Median $1,348.96 Typical High $3,715.35 | Professional | None | $1,318.26 | $1,348.96 | $3,715.35 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $131.83 Median $131.83 Typical High $288.40 | Professional | RR · Rental | $131.83 | $131.83 | $288.40 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $977.24 Median $977.24 Typical High $1,778.28 | Professional | UE · Used equipment | $977.24 | $977.24 | $1,778.28 |
CDPHP Setting Professional Modifier None Typical Low $1,778.28 Median $1,778.28 Typical High $1,778.28 | Professional | None | $1,778.28 | $1,778.28 | $1,778.28 |
Cigna Setting Facility Modifier None Typical Low $1,230.27 Median $1,230.27 Typical High $1,348.96 | Facility | None | $1,230.27 | $1,230.27 | $1,348.96 |
Cigna Setting Professional Modifier None Typical Low $891.25 Median $891.25 Typical High $891.25 | Professional | None | $891.25 | $891.25 | $891.25 |
Emblem Health Setting Facility Modifier None Typical Low $2,187.76 Median $3,630.78 Typical High $7,943.28 | Facility | None | $2,187.76 | $3,630.78 | $7,943.28 |
Emblem Health Setting Professional Modifier None Typical Low $1,412.54 Median $2,187.76 Typical High $3,890.45 | Professional | None | $1,412.54 | $2,187.76 | $3,890.45 |
Excellus BCBS Setting Facility Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $1,288.25 | Facility | None | $1,288.25 | $1,288.25 | $1,288.25 |
Excellus BCBS Setting Professional Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $1,778.28 | Professional | None | $1,288.25 | $1,288.25 | $1,778.28 |
MVP Health Care 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 |
MVP Health Care Setting Professional Modifier None Typical Low $1,318.26 Median $1,318.26 Typical High $3,162.28 | Professional | None | $1,318.26 | $1,318.26 | $3,162.28 |
United Setting Facility Modifier None Typical Low $2,691.53 Median $2,691.53 Typical High $3,467.37 | Facility | None | $2,691.53 | $2,691.53 | $3,467.37 |
United Setting Professional Modifier None Typical Low $707.95 Median $1,318.26 Typical High $1,513.56 | Professional | None | $707.95 | $1,318.26 | $1,513.56 |
Univera Setting Facility Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $1,412.54 | Facility | None | $1,288.25 | $1,288.25 | $1,412.54 |
Univera Setting Professional Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $1,778.28 | Professional | None | $1,288.25 | $1,288.25 | $1,778.28 |
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 $1,737.80 Median $1,737.80 Typical High $1,737.80 | Professional | K3 · Prosthesis level 3 | $1,737.80 | $1,737.80 | $1,737.80 |
Where New York sits
The same service costs 2.4 times more in Montana 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· 31st of 51
$1,318
MT $2,239DE $933
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.