How much rates vary
Facilitymedian $182 · 10th to 90th $178 to $501Professionalmedian $178 · 10th to 90th $132 to $417
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 $109.65 Median $128.82 Typical High $186.21 | Facility | None | $109.65 | $128.82 | $186.21 |
Aetna Setting Professional Modifier None Typical Low $128.82 Median $128.82 Typical High $186.21 | Professional | None | $128.82 | $128.82 | $186.21 |
Anthem BCBS Setting Facility Modifier None Typical Low $302.00 Median $309.03 Typical High $602.56 | Facility | None | $302.00 | $309.03 | $602.56 |
Anthem BCBS Setting Professional Modifier None Typical Low $134.90 Median $134.90 Typical High $512.86 | Professional | None | $134.90 | $134.90 | $512.86 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $13.49 Median $13.49 Typical High $29.51 | Professional | RR · Rental | $13.49 | $13.49 | $29.51 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $102.33 Median $102.33 Typical High $181.97 | Professional | UE · Used equipment | $102.33 | $102.33 | $181.97 |
CDPHP Setting Professional Modifier None Typical Low $245.47 Median $245.47 Typical High $245.47 | Professional | None | $245.47 | $245.47 | $245.47 |
Cigna Setting Facility Modifier None Typical Low $181.97 Median $181.97 Typical High $194.98 | Facility | None | $181.97 | $181.97 | $194.98 |
Cigna Setting Professional Modifier None Typical Low $131.83 Median $131.83 Typical High $131.83 | Professional | None | $131.83 | $131.83 | $131.83 |
Emblem Health Setting Facility Modifier None Typical Low $302.00 Median $501.19 Typical High $1,096.48 | Facility | None | $302.00 | $501.19 | $1,096.48 |
Emblem Health Setting Professional Modifier None Typical Low $190.55 Median $302.00 Typical High $537.03 | Professional | None | $190.55 | $302.00 | $537.03 |
Excellus BCBS Setting Facility Modifier None Typical Low $177.83 Median $177.83 Typical High $177.83 | Facility | None | $177.83 | $177.83 | $177.83 |
Excellus BCBS Setting Professional Modifier None Typical Low $177.83 Median $177.83 Typical High $245.47 | Professional | None | $177.83 | $177.83 | $245.47 |
MVP Health Care Setting Facility Modifier None Typical Low $380.19 Median $380.19 Typical High $380.19 | Facility | None | $380.19 | $380.19 | $380.19 |
MVP Health Care Setting Professional Modifier None Typical Low $177.83 Median $177.83 Typical High $446.68 | Professional | None | $177.83 | $177.83 | $446.68 |
United Setting Facility Modifier None Typical Low $147.91 Median $173.78 Typical High $363.08 | Facility | None | $147.91 | $173.78 | $363.08 |
United Setting Professional Modifier None Typical Low $97.72 Median $165.96 Typical High $199.53 | Professional | None | $97.72 | $165.96 | $199.53 |
Univera Setting Facility Modifier None Typical Low $177.83 Median $177.83 Typical High $186.21 | Facility | None | $177.83 | $177.83 | $186.21 |
Univera Setting Professional Modifier None Typical Low $177.83 Median $177.83 Typical High $245.47 | Professional | None | $177.83 | $177.83 | $245.47 |
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 $64.57 Median $64.57 Typical High $93.33 | Professional | 52 · Reduced service | $64.57 | $64.57 | $93.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.70 Median $25.70 Typical High $37.15 | Professional | 53 · Discontinued | $25.70 | $25.70 | $37.15 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $19.50 Median $19.50 Typical High $28.18 | Professional | 55 · Aftercare only | $19.50 | $19.50 | $28.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.88 Median $12.88 Typical High $18.62 | Professional | 56 · Pre-op care only | $12.88 | $12.88 | $18.62 |
Where New York sits
The same service costs 3.5 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· 17th of 51
$178
HI $427DC $120
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.