How much rates vary
Facilitymedian $363 · 10th to 90th $309 to $1,072Professionalmedian $372 · 10th to 90th $282 to $891
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 $234.42 Median $281.84 Typical High $407.38 | Facility | None | $234.42 | $281.84 | $407.38 |
Aetna Setting Professional Modifier None (both parts) Typical Low $281.84 Median $281.84 Typical High $407.38 | Professional | None (both parts) | $281.84 | $281.84 | $407.38 |
Anthem BCBS Setting Facility Modifier None Typical Low $660.69 Median $676.08 Typical High $1,318.26 | Facility | None | $660.69 | $676.08 | $1,318.26 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $295.12 Median $295.12 Typical High $1,122.02 | Professional | None (both parts) | $295.12 | $295.12 | $1,122.02 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $29.51 Median $29.51 Typical High $63.10 | Professional | RR · Rental | $29.51 | $29.51 | $63.10 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $218.78 Median $218.78 Typical High $398.11 | Professional | UE · Used equipment | $218.78 | $218.78 | $398.11 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $537.03 Median $537.03 Typical High $537.03 | Professional | None (both parts) | $537.03 | $537.03 | $537.03 |
Cigna Setting Facility Modifier None Typical Low $363.08 Median $363.08 Typical High $389.05 | Facility | None | $363.08 | $363.08 | $389.05 |
Cigna Setting Professional Modifier None (both parts) Typical Low $269.15 Median $269.15 Typical High $269.15 | Professional | None (both parts) | $269.15 | $269.15 | $269.15 |
Emblem Health Setting Facility Modifier None Typical Low $660.69 Median $1,071.52 Typical High $2,344.23 | Facility | None | $660.69 | $1,071.52 | $2,344.23 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $416.87 Median $691.83 Typical High $1,148.15 | Professional | None (both parts) | $416.87 | $691.83 | $1,148.15 |
Excellus BCBS Setting Facility Modifier None Typical Low $309.03 Median $309.03 Typical High $309.03 | Facility | None | $309.03 | $309.03 | $309.03 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $309.03 Median $389.05 Typical High $537.03 | Professional | None (both parts) | $309.03 | $389.05 | $537.03 |
MVP Health Care Setting Facility Modifier None Typical Low $660.69 Median $660.69 Typical High $660.69 | Facility | None | $660.69 | $660.69 | $660.69 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $380.19 Median $380.19 Typical High $954.99 | Professional | None (both parts) | $380.19 | $380.19 | $954.99 |
United Setting Facility Modifier None Typical Low $239.88 Median $323.59 Typical High $794.33 | Facility | None | $239.88 | $323.59 | $794.33 |
United Setting Professional Modifier None (both parts) Typical Low $213.80 Median $363.08 Typical High $426.58 | Professional | None (both parts) | $213.80 | $363.08 | $426.58 |
Univera Setting Facility Modifier None Typical Low $309.03 Median $309.03 Typical High $389.05 | Facility | None | $309.03 | $309.03 | $389.05 |
Univera Setting Professional Modifier None (both parts) Typical Low $309.03 Median $389.05 Typical High $537.03 | Professional | None (both parts) | $309.03 | $389.05 | $537.03 |
5 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 $141.25 Median $141.25 Typical High $204.17 | Professional | 52 · Reduced service | $141.25 | $141.25 | $204.17 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $56.23 Median $56.23 Typical High $81.28 | Professional | 53 · Discontinued | $56.23 | $56.23 | $81.28 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $41.69 Median $41.69 Typical High $60.26 | Professional | 55 · Aftercare only | $41.69 | $41.69 | $60.26 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $28.18 Median $28.18 Typical High $40.74 | Professional | 56 · Pre-op care only | $28.18 | $28.18 | $40.74 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $43.65 Typical High $56.23 | Professional | 26 · Professional part | $29.51 | $43.65 | $56.23 |
Where New York sits
The same service costs 2.6 times more in Hawaii than in Alabama. 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
$372
HI $708AL $269
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.