How much rates vary
Facilitymedian $2,042 · 10th to 90th $1,549 to $5,623Professionalmedian $1,995 · 10th to 90th $1,549 to $4,898
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 $1,202.26 Median $1,412.54 Typical High $2,041.74 | Facility | None | $1,202.26 | $1,412.54 | $2,041.74 |
Aetna Setting Professional Modifier None Typical Low $1,412.54 Median $1,412.54 Typical High $2,041.74 | Professional | None | $1,412.54 | $1,412.54 | $2,041.74 |
Anthem BCBS Setting Facility Modifier None Typical Low $3,311.31 Median $3,388.44 Typical High $6,606.93 | Facility | None | $3,311.31 | $3,388.44 | $6,606.93 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,995.26 Median $1,995.26 Typical High $5,888.44 | Professional | None | $1,995.26 | $1,995.26 | $5,888.44 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $199.53 Median $199.53 Typical High $436.52 | Professional | RR · Rental | $199.53 | $199.53 | $436.52 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1,513.56 Median $1,513.56 Typical High $2,691.53 | Professional | UE · Used equipment | $1,513.56 | $1,513.56 | $2,691.53 |
CDPHP Setting Professional Modifier None Typical Low $2,754.23 Median $2,754.23 Typical High $2,754.23 | Professional | None | $2,754.23 | $2,754.23 | $2,754.23 |
Cigna Setting Facility Modifier None Typical Low $2,691.53 Median $2,691.53 Typical High $2,884.03 | Facility | None | $2,691.53 | $2,691.53 | $2,884.03 |
Cigna Setting Professional Modifier None Typical Low $1,949.84 Median $1,949.84 Typical High $1,949.84 | Professional | None | $1,949.84 | $1,949.84 | $1,949.84 |
Emblem Health Setting Facility Modifier None Typical Low $3,311.31 Median $5,495.41 Typical High $12,022.64 | Facility | None | $3,311.31 | $5,495.41 | $12,022.64 |
Emblem Health Setting Professional Modifier None Typical Low $2,187.76 Median $3,548.13 Typical High $5,888.44 | Professional | None | $2,187.76 | $3,548.13 | $5,888.44 |
Excellus BCBS Setting Facility Modifier None Typical Low $1,548.82 Median $1,548.82 Typical High $1,548.82 | Facility | None | $1,548.82 | $1,548.82 | $1,548.82 |
Excellus BCBS Setting Professional Modifier None Typical Low $1,548.82 Median $1,949.84 Typical High $2,754.23 | Professional | None | $1,548.82 | $1,949.84 | $2,754.23 |
MVP Health Care Setting Facility Modifier None Typical Low $3,311.31 Median $3,311.31 Typical High $3,311.31 | Facility | None | $3,311.31 | $3,311.31 | $3,311.31 |
MVP Health Care Setting Professional Modifier None Typical Low $1,949.84 Median $1,949.84 Typical High $4,897.79 | Professional | None | $1,949.84 | $1,949.84 | $4,897.79 |
United Setting Facility Modifier None Typical Low $1,862.09 Median $2,187.76 Typical High $5,370.32 | Facility | None | $1,862.09 | $2,187.76 | $5,370.32 |
United Setting Professional Modifier None Typical Low $1,096.48 Median $1,995.26 Typical High $2,511.89 | Professional | None | $1,096.48 | $1,995.26 | $2,511.89 |
Univera Setting Facility Modifier None Typical Low $1,548.82 Median $1,548.82 Typical High $1,949.84 | Facility | None | $1,548.82 | $1,548.82 | $1,949.84 |
Univera Setting Professional Modifier None Typical Low $1,548.82 Median $1,949.84 Typical High $2,754.23 | Professional | None | $1,548.82 | $1,949.84 | $2,754.23 |
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 $707.95 Median $707.95 Typical High $1,023.29 | Professional | 52 · Reduced service | $707.95 | $707.95 | $1,023.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $281.84 Median $281.84 Typical High $416.87 | Professional | 53 · Discontinued | $281.84 | $281.84 | $416.87 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $213.80 Median $213.80 Typical High $309.03 | Professional | 55 · Aftercare only | $213.80 | $213.80 | $309.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $141.25 Median $141.25 Typical High $204.17 | Professional | 56 · Pre-op care only | $141.25 | $141.25 | $204.17 |
Where New York sits
The same service costs 2.9 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· 37th of 51
$1,995
HI $5,012DC $1,738
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.