How much rates vary
Facilitymedian $2,188 · 10th to 90th $1,862 to $5,888Professionalmedian $2,042 · 10th to 90th $1,698 to $5,129
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 $1,288.25 Median $1,513.56 Typical High $2,187.76 | Facility | None | $1,288.25 | $1,513.56 | $2,187.76 |
Aetna Setting Professional Modifier None Typical Low $1,513.56 Median $1,513.56 Typical High $2,187.76 | Professional | None | $1,513.56 | $1,513.56 | $2,187.76 |
Anthem BCBS Setting Facility Modifier None Typical Low $3,548.13 Median $3,630.78 Typical High $7,079.46 | Facility | None | $3,548.13 | $3,630.78 | $7,079.46 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,949.84 Median $1,949.84 Typical High $6,165.95 | Professional | None | $1,949.84 | $1,949.84 | $6,165.95 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $194.98 Median $194.98 Typical High $416.87 | Professional | RR · Rental | $194.98 | $194.98 | $416.87 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1,445.44 Median $1,445.44 Typical High $2,570.40 | Professional | UE · Used equipment | $1,445.44 | $1,445.44 | $2,570.40 |
CDPHP Setting Professional Modifier None Typical Low $2,884.03 Median $2,884.03 Typical High $2,884.03 | Professional | None | $2,884.03 | $2,884.03 | $2,884.03 |
Cigna Setting Facility Modifier None Typical Low $2,454.71 Median $2,454.71 Typical High $2,630.27 | Facility | None | $2,454.71 | $2,454.71 | $2,630.27 |
Cigna Setting Professional Modifier None Typical Low $1,819.70 Median $1,819.70 Typical High $1,819.70 | Professional | None | $1,819.70 | $1,819.70 | $1,819.70 |
Emblem Health Setting Facility Modifier None Typical Low $3,548.13 Median $5,888.44 Typical High $12,882.50 | Facility | None | $3,548.13 | $5,888.44 | $12,882.50 |
Emblem Health Setting Professional Modifier None Typical Low $2,290.87 Median $3,715.35 Typical High $6,309.57 | Professional | None | $2,290.87 | $3,715.35 | $6,309.57 |
Excellus BCBS Setting Facility Modifier None Typical Low $1,862.09 Median $1,862.09 Typical High $1,862.09 | Facility | None | $1,862.09 | $1,862.09 | $1,862.09 |
Excellus BCBS Setting Professional Modifier None Typical Low $1,862.09 Median $2,089.30 Typical High $2,884.03 | Professional | None | $1,862.09 | $2,089.30 | $2,884.03 |
MVP Health Care Setting Facility Modifier None Typical Low $3,981.07 Median $3,981.07 Typical High $3,981.07 | Facility | None | $3,981.07 | $3,981.07 | $3,981.07 |
MVP Health Care Setting Professional Modifier None Typical Low $2,041.74 Median $2,041.74 Typical High $5,128.61 | Professional | None | $2,041.74 | $2,041.74 | $5,128.61 |
United Setting Facility Modifier None Typical Low $1,698.24 Median $1,949.84 Typical High $5,128.61 | Facility | None | $1,698.24 | $1,949.84 | $5,128.61 |
United Setting Professional Modifier None Typical Low $1,148.15 Median $2,137.96 Typical High $2,454.71 | Professional | None | $1,148.15 | $2,137.96 | $2,454.71 |
Univera Setting Facility Modifier None Typical Low $1,862.09 Median $1,862.09 Typical High $2,187.76 | Facility | None | $1,862.09 | $1,862.09 | $2,187.76 |
Univera Setting Professional Modifier None Typical Low $1,862.09 Median $2,089.30 Typical High $2,884.03 | Professional | None | $1,862.09 | $2,089.30 | $2,884.03 |
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 $758.58 Median $758.58 Typical High $1,096.48 | Professional | 52 · Reduced service | $758.58 | $758.58 | $1,096.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $302.00 Median $302.00 Typical High $436.52 | Professional | 53 · Discontinued | $302.00 | $302.00 | $436.52 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $223.87 Median $223.87 Typical High $331.13 | Professional | 55 · Aftercare only | $223.87 | $223.87 | $331.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $151.36 Median $151.36 Typical High $218.78 | Professional | 56 · Pre-op care only | $151.36 | $151.36 | $218.78 |
Where New York sits
The same service costs 2.4 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· 30th of 51
$2,042
HI $4,365DE $1,820
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.