How much rates vary
Facilitymedian $1,905 · 10th to 90th $1,514 to $5,495Professionalmedian $1,905 · 10th to 90th $1,413 to $4,571
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 $1,479.11 Median $1,479.11 Typical High $5,623.41 | Professional | None | $1,479.11 | $1,479.11 | $5,623.41 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $147.91 Median $147.91 Typical High $323.59 | Professional | RR · Rental | $147.91 | $147.91 | $323.59 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1,122.02 Median $1,122.02 Typical High $1,995.26 | Professional | UE · Used equipment | $1,122.02 | $1,122.02 | $1,995.26 |
CDPHP Setting Professional Modifier None Typical Low $2,691.53 Median $2,691.53 Typical High $2,691.53 | Professional | None | $2,691.53 | $2,691.53 | $2,691.53 |
Cigna Setting Facility Modifier None Typical Low $1,513.56 Median $1,513.56 Typical High $1,621.81 | Facility | None | $1,513.56 | $1,513.56 | $1,621.81 |
Cigna Setting Professional Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $1,122.02 | Professional | None | $1,122.02 | $1,122.02 | $1,122.02 |
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 $2,089.30 Median $3,467.37 Typical High $5,888.44 | Professional | None | $2,089.30 | $3,467.37 | $5,888.44 |
Excellus BCBS Setting Facility Modifier None Typical Low $1,905.46 Median $1,905.46 Typical High $1,905.46 | Facility | None | $1,905.46 | $1,905.46 | $1,905.46 |
Excellus BCBS Setting Professional Modifier None Typical Low $1,905.46 Median $1,949.84 Typical High $2,691.53 | Professional | None | $1,905.46 | $1,949.84 | $2,691.53 |
MVP Health Care Setting Facility Modifier None Typical Low $4,073.80 Median $4,073.80 Typical High $4,073.80 | Facility | None | $4,073.80 | $4,073.80 | $4,073.80 |
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 $1,621.81 Median $1,659.59 Typical High $3,981.07 | Facility | None | $1,621.81 | $1,659.59 | $3,981.07 |
United Setting Professional Modifier None Typical Low $1,071.52 Median $1,819.70 Typical High $2,187.76 | Professional | None | $1,071.52 | $1,819.70 | $2,187.76 |
Univera Setting Facility Modifier None Typical Low $1,905.46 Median $1,905.46 Typical High $2,041.74 | Facility | None | $1,905.46 | $1,905.46 | $2,041.74 |
Univera Setting Professional Modifier None Typical Low $1,905.46 Median $1,949.84 Typical High $2,691.53 | Professional | None | $1,905.46 | $1,949.84 | $2,691.53 |
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 $407.38 | Professional | 53 · Discontinued | $281.84 | $281.84 | $407.38 |
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 3.2 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· 18th of 51
$1,905
HI $3,890DE $1,202
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.