How much rates vary
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 $1,513.56 | Facility | None | $1,202.26 | $1,412.54 | $1,513.56 |
Aetna Setting Professional Modifier None Typical Low $1,202.26 Median $1,202.26 Typical High $1,412.54 | Professional | None | $1,202.26 | $1,202.26 | $1,412.54 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,412.54 Median $1,479.11 Typical High $1,479.11 | Professional | None | $1,412.54 | $1,479.11 | $1,479.11 |
CDPHP Setting Professional Modifier None Typical Low $707.95 Median $707.95 Typical High $707.95 | Professional | None | $707.95 | $707.95 | $707.95 |
Cigna Setting Facility Modifier None Typical Low $478.63 Median $478.63 Typical High $630.96 | Facility | None | $478.63 | $478.63 | $630.96 |
Cigna Setting Professional Modifier None Typical Low $407.38 Median $407.38 Typical High $407.38 | Professional | None | $407.38 | $407.38 | $407.38 |
Emblem Health Setting Facility Modifier None Typical Low $851.14 Median $1,412.54 Typical High $3,090.30 | Facility | None | $851.14 | $1,412.54 | $3,090.30 |
Emblem Health Setting Professional Modifier None Typical Low $562.34 Median $912.01 Typical High $1,513.56 | Professional | None | $562.34 | $912.01 | $1,513.56 |
Excellus BCBS Setting Professional Modifier None Typical Low $524.81 Median $588.84 Typical High $707.95 | Professional | None | $524.81 | $588.84 | $707.95 |
MVP Health Care Setting Professional Modifier None Typical Low $524.81 Median $524.81 Typical High $1,258.93 | Professional | None | $524.81 | $524.81 | $1,258.93 |
United Setting Professional Modifier None Typical Low $281.84 Median $512.86 Typical High $602.56 | Professional | None | $281.84 | $512.86 | $602.56 |
Univera Setting Facility Modifier None Typical Low $549.54 Median $549.54 Typical High $549.54 | Facility | None | $549.54 | $549.54 | $549.54 |
Univera Setting Professional Modifier None Typical Low $524.81 Median $588.84 Typical High $707.95 | Professional | None | $524.81 | $588.84 | $707.95 |
6 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 $602.56 Median $602.56 Typical High $707.95 | Professional | 52 · Reduced service | $602.56 | $602.56 | $707.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $245.47 Median $245.47 Typical High $281.84 | Professional | 53 · Discontinued | $245.47 | $245.47 | $281.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $181.97 Median $181.97 Typical High $208.93 | Professional | 55 · Aftercare only | $181.97 | $181.97 | $208.93 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $120.23 Median $120.23 Typical High $141.25 | Professional | 56 · Pre-op care only | $120.23 | $120.23 | $141.25 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $47.86 Median $47.86 Typical High $147.91 | Professional | RR · Rental | $47.86 | $47.86 | $147.91 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $363.08 Median $363.08 Typical High $1,096.48 | Professional | UE · Used equipment | $363.08 | $363.08 | $1,096.48 |
Where New York sits
The same service costs 3.2 times more in Michigan than in Ohio. 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· 42nd of 51
$589
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.