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 $100.00 Median $645.65 Typical High $2,041.74 | Facility | None | $100.00 | $645.65 | $2,041.74 |
Aetna Setting Professional Modifier None Typical Low $100.00 Median $100.00 Typical High $114.82 | Professional | None | $100.00 | $100.00 | $114.82 |
Anthem BCBS Setting Professional Modifier None Typical Low $64.57 Median $75.86 Typical High $85.11 | Professional | None | $64.57 | $75.86 | $85.11 |
Cigna Setting Facility Modifier None Typical Low $128.82 Median $128.82 Typical High $128.82 | Facility | None | $128.82 | $128.82 | $128.82 |
Cigna Setting Professional Modifier None Typical Low $81.28 Median $81.28 Typical High $81.28 | Professional | None | $81.28 | $81.28 | $81.28 |
Excellus BCBS Setting Professional Modifier None Typical Low $89.13 Median $91.20 Typical High $151.36 | Professional | None | $89.13 | $91.20 | $151.36 |
MVP Health Care Setting Professional Modifier None Typical Low $114.82 Median $134.90 Typical High $162.18 | Professional | None | $114.82 | $134.90 | $162.18 |
United Setting Professional Modifier None Typical Low $67.61 Median $102.33 Typical High $147.91 | Professional | None | $67.61 | $102.33 | $147.91 |
Univera Setting Facility Modifier None Typical Low $91.20 Median $91.20 Typical High $91.20 | Facility | None | $91.20 | $91.20 | $91.20 |
Univera Setting Professional Modifier None Typical Low $89.13 Median $91.20 Typical High $151.36 | Professional | None | $89.13 | $91.20 | $151.36 |
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 $50.12 Median $50.12 Typical High $57.54 | Professional | 52 · Reduced service | $50.12 | $50.12 | $57.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.95 Median $19.95 Typical High $22.91 | Professional | 53 · Discontinued | $19.95 | $19.95 | $22.91 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $15.14 Median $15.14 Typical High $17.38 | Professional | 55 · Aftercare only | $15.14 | $15.14 | $17.38 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.00 Median $10.00 Typical High $11.48 | Professional | 56 · Pre-op care only | $10.00 | $10.00 | $11.48 |
Where New York sits
The same service costs 3.3 times more in Alaska than in Wyoming. 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· 44th of 51
$81.28
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.