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 $1,949.84 Median $1,949.84 Typical High $1,949.84 | Facility | None | $1,949.84 | $1,949.84 | $1,949.84 |
Aetna Setting Professional Modifier None Typical Low $1,949.84 Median $1,949.84 Typical High $1,949.84 | Professional | None | $1,949.84 | $1,949.84 | $1,949.84 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,949.84 Median $1,949.84 Typical High $1,949.84 | Professional | None | $1,949.84 | $1,949.84 | $1,949.84 |
Cigna Setting Facility Modifier None Typical Low $138.04 Median $165.96 Typical High $229.09 | Facility | None | $138.04 | $165.96 | $229.09 |
Cigna Setting Professional Modifier None Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | None | $125.89 | $125.89 | $125.89 |
Emblem Health Setting Facility Modifier None Typical Low $151.36 Median $537.03 Typical High $2,454.71 | Facility | None | $151.36 | $537.03 | $2,454.71 |
Emblem Health Setting Professional Modifier None Typical Low $275.42 Median $2,041.74 Typical High $2,041.74 | Professional | None | $275.42 | $2,041.74 | $2,041.74 |
Excellus BCBS Setting Facility Modifier None Typical Low $2,041.74 Median $2,137.96 Typical High $2,137.96 | Facility | None | $2,041.74 | $2,137.96 | $2,137.96 |
Excellus BCBS Setting Professional Modifier None Typical Low $2,041.74 Median $2,137.96 Typical High $2,137.96 | Professional | None | $2,041.74 | $2,137.96 | $2,137.96 |
MVP Health Care Setting Facility Modifier None Typical Low $2,511.89 Median $2,511.89 Typical High $4,365.16 | Facility | None | $2,511.89 | $2,511.89 | $4,365.16 |
MVP Health Care Setting Professional Modifier None Typical Low $1,698.24 Median $2,137.96 Typical High $3,715.35 | Professional | None | $1,698.24 | $2,137.96 | $3,715.35 |
United Setting Professional Modifier None Typical Low $125.89 Median $125.89 Typical High $169.82 | Professional | None | $125.89 | $125.89 | $169.82 |
Univera Setting Facility Modifier None Typical Low $2,041.74 Median $2,137.96 Typical High $2,137.96 | Facility | None | $2,041.74 | $2,137.96 | $2,137.96 |
Univera Setting Professional Modifier None Typical Low $2,041.74 Median $2,137.96 Typical High $2,137.96 | Professional | None | $2,041.74 | $2,137.96 | $2,137.96 |
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 $977.24 Median $977.24 Typical High $977.24 | Professional | 52 · Reduced service | $977.24 | $977.24 | $977.24 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $389.05 Median $389.05 Typical High $389.05 | Professional | 53 · Discontinued | $389.05 | $389.05 | $389.05 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $295.12 Median $295.12 Typical High $295.12 | Professional | 55 · Aftercare only | $295.12 | $295.12 | $295.12 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $194.98 Median $194.98 Typical High $194.98 | Professional | 56 · Pre-op care only | $194.98 | $194.98 | $194.98 |
Where New York sits
The same service costs 19.5 times more in Alaska than in North Carolina. 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· 22nd of 51
$1,950
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.