How much rates vary
Facilitymedian $170 · 10th to 90th $112 to $380Professionalmedian $68 · 10th to 90th $55 to $110
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 $47.86 Median $85.11 Typical High $100.00 | Facility | None | $47.86 | $85.11 | $100.00 |
Aetna Setting Professional Modifier None Typical Low $85.11 Median $85.11 Typical High $100.00 | Professional | None | $85.11 | $85.11 | $100.00 |
Anthem BCBS Setting Facility Modifier None Typical Low $169.82 Median $169.82 Typical High $338.84 | Facility | None | $169.82 | $169.82 | $338.84 |
Anthem BCBS Setting Professional Modifier None Typical Low $54.95 Median $64.57 Typical High $70.79 | Professional | None | $54.95 | $64.57 | $70.79 |
CDPHP Setting Professional Modifier None Typical Low $138.04 Median $138.04 Typical High $138.04 | Professional | None | $138.04 | $138.04 | $138.04 |
Cigna Setting Facility Modifier None Typical Low $199.53 Median $199.53 Typical High $199.53 | Facility | None | $199.53 | $199.53 | $199.53 |
Cigna Setting Professional Modifier None Typical Low $61.66 Median $61.66 Typical High $61.66 | Professional | None | $61.66 | $61.66 | $61.66 |
Emblem Health Setting Facility Modifier None Typical Low $169.82 Median $281.84 Typical High $616.60 | Facility | None | $169.82 | $281.84 | $616.60 |
Emblem Health Setting Professional Modifier None Typical Low $186.21 Median $186.21 Typical High $245.47 | Professional | None | $186.21 | $186.21 | $245.47 |
Excellus BCBS Setting Professional Modifier None Typical Low $95.50 Median $102.33 Typical High $144.54 | Professional | None | $95.50 | $102.33 | $144.54 |
Highmark BCBS Setting Professional Modifier None Typical Low $141.25 Median $141.25 Typical High $141.25 | Professional | None | $141.25 | $141.25 | $141.25 |
MVP Health Care Setting Professional Modifier None Typical Low $100.00 Median $100.00 Typical High $165.96 | Professional | None | $100.00 | $100.00 | $165.96 |
United Setting Facility Modifier None Typical Low $169.82 Median $169.82 Typical High $218.78 | Facility | None | $169.82 | $169.82 | $218.78 |
United Setting Professional Modifier None Typical Low $60.26 Median $89.13 Typical High $109.65 | Professional | None | $60.26 | $89.13 | $109.65 |
Univera Setting Facility Modifier None Typical Low $104.71 Median $169.82 Typical High $169.82 | Facility | None | $104.71 | $169.82 | $169.82 |
Univera Setting Professional Modifier None Typical Low $95.50 Median $102.33 Typical High $169.82 | Professional | None | $95.50 | $102.33 | $169.82 |
8 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 $42.66 Median $42.66 Typical High $50.12 | Professional | 52 · Reduced service | $42.66 | $42.66 | $50.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.98 Median $16.98 Typical High $19.95 | Professional | 53 · Discontinued | $16.98 | $16.98 | $19.95 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.88 Median $12.88 Typical High $15.14 | Professional | 55 · Aftercare only | $12.88 | $12.88 | $15.14 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.51 Median $8.51 Typical High $10.00 | Professional | 56 · Pre-op care only | $8.51 | $8.51 | $10.00 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $79.43 Median $104.71 Typical High $128.82 | Professional | UE · Used equipment | $79.43 | $104.71 | $128.82 |
United Setting Professional Modifier CD · Dialysis lab test, bundled Typical Low $50.12 Median $50.12 Typical High $50.12 | Professional | CD · Dialysis lab test, bundled | $50.12 | $50.12 | $50.12 |
United Setting Professional Modifier CM · 80–99% impaired Typical Low $70.79 Median $70.79 Typical High $70.79 | Professional | CM · 80–99% impaired | $70.79 | $70.79 | $70.79 |
United Setting Professional Modifier XC Typical Low $1,513.56 Median $1,513.56 Typical High $1,513.56 | Professional | XC | $1,513.56 | $1,513.56 | $1,513.56 |
Where New York sits
The same service costs 2.5 times more in Minnesota than in Utah. 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
$67.61
MN $151UT $61.66
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.