How much rates vary
Facilitymedian $2,455 · 10th to 90th $2,291 to $6,457Professionalmedian $2,291 · 10th to 90th $1,738 to $5,370
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 $1,412.54 Median $1,659.59 Typical High $2,398.83 | Facility | None | $1,412.54 | $1,659.59 | $2,398.83 |
Aetna Setting Professional Modifier None Typical Low $1,659.59 Median $1,659.59 Typical High $2,398.83 | Professional | None | $1,659.59 | $1,659.59 | $2,398.83 |
Anthem BCBS Setting Facility Modifier None Typical Low $3,890.45 Median $3,981.07 Typical High $7,762.47 | Facility | None | $3,890.45 | $3,981.07 | $7,762.47 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,905.46 Median $1,905.46 Typical High $6,606.93 | Professional | None | $1,905.46 | $1,905.46 | $6,606.93 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $190.55 Median $190.55 Typical High $416.87 | Professional | RR · Rental | $190.55 | $190.55 | $416.87 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1,412.54 Median $1,412.54 Typical High $2,570.40 | Professional | UE · Used equipment | $1,412.54 | $1,412.54 | $2,570.40 |
CDPHP Setting Professional Modifier None Typical Low $3,235.94 Median $3,235.94 Typical High $3,235.94 | Professional | None | $3,235.94 | $3,235.94 | $3,235.94 |
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 $3,890.45 Median $6,456.54 Typical High $14,125.38 | Facility | None | $3,890.45 | $6,456.54 | $14,125.38 |
Emblem Health Setting Professional Modifier None Typical Low $2,454.71 Median $4,073.80 Typical High $6,918.31 | Professional | None | $2,454.71 | $4,073.80 | $6,918.31 |
Excellus BCBS Setting Facility Modifier None Typical Low $2,454.71 Median $2,454.71 Typical High $2,454.71 | Facility | None | $2,454.71 | $2,454.71 | $2,454.71 |
Excellus BCBS Setting Professional Modifier None Typical Low $2,290.87 Median $2,454.71 Typical High $3,235.94 | Professional | None | $2,290.87 | $2,454.71 | $3,235.94 |
MVP Health Care Setting Facility Modifier None Typical Low $5,248.07 Median $5,248.07 Typical High $5,248.07 | Facility | None | $5,248.07 | $5,248.07 | $5,248.07 |
MVP Health Care Setting Professional Modifier None Typical Low $2,290.87 Median $2,290.87 Typical High $5,754.40 | Professional | None | $2,290.87 | $2,290.87 | $5,754.40 |
United Setting Facility Modifier None Typical Low $2,089.30 Median $2,187.76 Typical High $5,128.61 | Facility | None | $2,089.30 | $2,187.76 | $5,128.61 |
United Setting Professional Modifier None Typical Low $1,288.25 Median $2,290.87 Typical High $2,630.27 | Professional | None | $1,288.25 | $2,290.87 | $2,630.27 |
Univera Setting Facility Modifier None Typical Low $2,290.87 Median $2,454.71 Typical High $2,454.71 | Facility | None | $2,290.87 | $2,454.71 | $2,454.71 |
Univera Setting Professional Modifier None Typical Low $2,290.87 Median $2,454.71 Typical High $3,235.94 | Professional | None | $2,290.87 | $2,454.71 | $3,235.94 |
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 $831.76 Median $831.76 Typical High $1,202.26 | Professional | 52 · Reduced service | $831.76 | $831.76 | $1,202.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $331.13 Median $331.13 Typical High $489.78 | Professional | 53 · Discontinued | $331.13 | $331.13 | $489.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $251.19 Median $251.19 Typical High $363.08 | Professional | 55 · Aftercare only | $251.19 | $251.19 | $363.08 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $165.96 Median $165.96 Typical High $239.88 | Professional | 56 · Pre-op care only | $165.96 | $165.96 | $239.88 |
Where New York sits
The same service costs 3.4 times more in Hawaii than in Washington, DC. 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· 23rd of 51
$2,291
HI $5,623DC $1,660
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.