How much rates vary
Facilitymedian $1,259 · 10th to 90th $977 to $3,981Professionalmedian $1,175 · 10th to 90th $912 to $2,951
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 $707.95 Median $851.14 Typical High $1,230.27 | Facility | None | $707.95 | $851.14 | $1,230.27 |
Aetna Setting Professional Modifier None Typical Low $851.14 Median $851.14 Typical High $1,230.27 | Professional | None | $851.14 | $851.14 | $1,230.27 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,995.26 Median $2,041.74 Typical High $3,981.07 | Facility | None | $1,995.26 | $2,041.74 | $3,981.07 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,174.90 Median $1,174.90 Typical High $3,467.37 | Professional | None | $1,174.90 | $1,174.90 | $3,467.37 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $117.49 Median $117.49 Typical High $257.04 | Professional | RR · Rental | $117.49 | $117.49 | $257.04 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $891.25 Median $891.25 Typical High $1,584.89 | Professional | UE · Used equipment | $891.25 | $891.25 | $1,584.89 |
CDPHP Setting Professional Modifier None Typical Low $1,621.81 Median $1,621.81 Typical High $1,621.81 | Professional | None | $1,621.81 | $1,621.81 | $1,621.81 |
Cigna Setting Facility Modifier None Typical Low $1,258.93 Median $1,258.93 Typical High $1,348.96 | Facility | None | $1,258.93 | $1,258.93 | $1,348.96 |
Cigna Setting Professional Modifier None Typical Low $912.01 Median $912.01 Typical High $912.01 | Professional | None | $912.01 | $912.01 | $912.01 |
Emblem Health Setting Facility Modifier None Typical Low $1,995.26 Median $3,235.94 Typical High $7,079.46 | Facility | None | $1,995.26 | $3,235.94 | $7,079.46 |
Emblem Health Setting Professional Modifier None Typical Low $1,288.25 Median $2,089.30 Typical High $3,467.37 | Professional | None | $1,288.25 | $2,089.30 | $3,467.37 |
Excellus BCBS Setting Professional Modifier None Typical Low $1,122.02 Median $1,230.27 Typical High $1,621.81 | Professional | None | $1,122.02 | $1,230.27 | $1,621.81 |
MVP Health Care Setting Professional Modifier None Typical Low $1,148.15 Median $1,148.15 Typical High $2,884.03 | Professional | None | $1,148.15 | $1,148.15 | $2,884.03 |
United Setting Facility Modifier None Typical Low $691.83 Median $977.24 Typical High $3,162.28 | Facility | None | $691.83 | $977.24 | $3,162.28 |
United Setting Professional Modifier None Typical Low $645.65 Median $1,174.90 Typical High $1,479.11 | Professional | None | $645.65 | $1,174.90 | $1,479.11 |
Univera Setting Facility Modifier None Typical Low $1,122.02 Median $1,174.90 Typical High $1,202.26 | Facility | None | $1,122.02 | $1,174.90 | $1,202.26 |
Univera Setting Professional Modifier None Typical Low $1,122.02 Median $1,230.27 Typical High $1,621.81 | Professional | None | $1,122.02 | $1,230.27 | $1,621.81 |
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 $426.58 Median $426.58 Typical High $616.60 | Professional | 52 · Reduced service | $426.58 | $426.58 | $616.60 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $169.82 Median $169.82 Typical High $245.47 | Professional | 53 · Discontinued | $169.82 | $169.82 | $245.47 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $125.89 Median $125.89 Typical High $181.97 | Professional | 55 · Aftercare only | $125.89 | $125.89 | $181.97 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $85.11 Median $85.11 Typical High $123.03 | Professional | 56 · Pre-op care only | $85.11 | $85.11 | $123.03 |
Where New York sits
The same service costs 2.5 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· 34th of 51
$1,175
AR $2,239DE $912
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.