How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $56.23 Median $114.82 Typical High $114.82 | Facility | None | $56.23 | $114.82 | $114.82 |
Aetna Setting Professional Modifier None Typical Low $56.23 Median $56.23 Typical High $114.82 | Professional | None | $56.23 | $56.23 | $114.82 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $28.18 Median $28.18 Typical High $57.54 | Professional | 52 · Reduced service | $28.18 | $28.18 | $57.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.22 Median $11.22 Typical High $22.91 | Professional | 53 · Discontinued | $11.22 | $11.22 | $22.91 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.51 Median $8.51 Typical High $17.38 | Professional | 55 · Aftercare only | $8.51 | $8.51 | $17.38 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.62 Median $5.62 Typical High $11.48 | Professional | 56 · Pre-op care only | $5.62 | $5.62 | $11.48 |
Anthem BCBS Setting Professional Modifier None Typical Low $21.88 Median $30.20 Typical High $30.20 | Professional | None | $21.88 | $30.20 | $30.20 |
Cigna Setting Professional Modifier None Typical Low $165.96 Median $165.96 Typical High $165.96 | Professional | None | $165.96 | $165.96 | $165.96 |
Excellus BCBS Setting Professional Modifier None Typical Low $57.54 Median $57.54 Typical High $57.54 | Professional | None | $57.54 | $57.54 | $57.54 |
Highmark BCBS Setting Facility Modifier None Typical Low $69.18 Median $120.23 Typical High $128.82 | Facility | None | $69.18 | $120.23 | $128.82 |
United Setting Facility Modifier None Typical Low $144.54 Median $169.82 Typical High $208.93 | Facility | None | $144.54 | $169.82 | $208.93 |
United Setting Professional Modifier None Typical Low $64.57 Median $64.57 Typical High $64.57 | Professional | None | $64.57 | $64.57 | $64.57 |
Univera Setting Facility Modifier None Typical Low $33.88 Median $57.54 Typical High $141.25 | Facility | None | $33.88 | $57.54 | $141.25 |
Univera Setting Professional Modifier None Typical Low $34.67 Median $57.54 Typical High $57.54 | Professional | None | $34.67 | $57.54 | $57.54 |
Where New York sits
The same service costs 6.8 times more in North Carolina than in Kentucky. 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· 43rd of 51
$69.18
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.