How much rates vary
Facilitymedian $2,399 · 10th to 90th $1,698 to $7,413Professionalmedian $2,188 · 10th to 90th $1,660 to $5,495
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 $1,348.96 Median $1,584.89 Typical High $2,290.87 | Facility | None | $1,348.96 | $1,584.89 | $2,290.87 |
Aetna Setting Professional Modifier None Typical Low $1,584.89 Median $1,584.89 Typical High $2,290.87 | Professional | None | $1,584.89 | $1,584.89 | $2,290.87 |
Anthem BCBS Setting Facility Modifier None Typical Low $3,715.35 Median $3,801.89 Typical High $7,413.10 | Facility | None | $3,715.35 | $3,801.89 | $7,413.10 |
Anthem BCBS Setting Professional Modifier None Typical Low $2,089.30 Median $2,089.30 Typical High $6,456.54 | Professional | None | $2,089.30 | $2,089.30 | $6,456.54 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $208.93 Median $208.93 Typical High $446.68 | Professional | RR · Rental | $208.93 | $208.93 | $446.68 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1,548.82 Median $1,548.82 Typical High $2,754.23 | Professional | UE · Used equipment | $1,548.82 | $1,548.82 | $2,754.23 |
CDPHP Setting Professional Modifier None Typical Low $3,019.95 Median $3,019.95 Typical High $3,019.95 | Professional | None | $3,019.95 | $3,019.95 | $3,019.95 |
Cigna Setting Facility Modifier None Typical Low $2,398.83 Median $2,398.83 Typical High $2,570.40 | Facility | None | $2,398.83 | $2,398.83 | $2,570.40 |
Cigna Setting Professional Modifier None Typical Low $1,737.80 Median $1,737.80 Typical High $1,737.80 | Professional | None | $1,737.80 | $1,737.80 | $1,737.80 |
Emblem Health Setting Facility Modifier None Typical Low $3,715.35 Median $6,165.95 Typical High $13,489.63 | Facility | None | $3,715.35 | $6,165.95 | $13,489.63 |
Emblem Health Setting Professional Modifier None Typical Low $2,454.71 Median $3,890.45 Typical High $6,606.93 | Professional | None | $2,454.71 | $3,890.45 | $6,606.93 |
Excellus BCBS Setting Professional Modifier None Typical Low $2,089.30 Median $2,344.23 Typical High $3,019.95 | Professional | None | $2,089.30 | $2,344.23 | $3,019.95 |
MVP Health Care Setting Professional Modifier None Typical Low $2,187.76 Median $2,187.76 Typical High $5,495.41 | Professional | None | $2,187.76 | $2,187.76 | $5,495.41 |
United Setting Facility Modifier None Typical Low $1,445.44 Median $1,698.24 Typical High $5,495.41 | Facility | None | $1,445.44 | $1,698.24 | $5,495.41 |
United Setting Professional Modifier None Typical Low $1,230.27 Median $2,238.72 Typical High $2,630.27 | Professional | None | $1,230.27 | $2,238.72 | $2,630.27 |
Univera Setting Facility Modifier None Typical Low $2,089.30 Median $2,187.76 Typical High $2,290.87 | Facility | None | $2,089.30 | $2,187.76 | $2,290.87 |
Univera Setting Professional Modifier None Typical Low $2,089.30 Median $2,344.23 Typical High $3,019.95 | Professional | None | $2,089.30 | $2,344.23 | $3,019.95 |
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 $794.33 Median $794.33 Typical High $1,148.15 | Professional | 52 · Reduced service | $794.33 | $794.33 | $1,148.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $316.23 Median $316.23 Typical High $457.09 | Professional | 53 · Discontinued | $316.23 | $316.23 | $457.09 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $239.88 Median $239.88 Typical High $346.74 | Professional | 55 · Aftercare only | $239.88 | $239.88 | $346.74 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $158.49 Median $158.49 Typical High $229.09 | Professional | 56 · Pre-op care only | $158.49 | $158.49 | $229.09 |
Where New York sits
The same service costs 2.2 times more in Arkansas 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· 29th of 51
$2,188
AR $3,890DE $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.