How much rates vary
Facilitymedian $2,089 · 10th to 90th $1,259 to $4,365Professionalmedian $1,148 · 10th to 90th $759 to $2,291
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 $549.54 Median $977.24 Typical High $1,148.15 | Facility | None | $549.54 | $977.24 | $1,148.15 |
Aetna Setting Professional Modifier None Typical Low $977.24 Median $977.24 Typical High $1,148.15 | Professional | None | $977.24 | $977.24 | $1,148.15 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,949.84 Median $1,949.84 Typical High $3,890.45 | Facility | None | $1,949.84 | $1,949.84 | $3,890.45 |
Anthem BCBS Setting Professional Modifier None Typical Low $2,290.87 Median $2,290.87 Typical High $3,019.95 | Professional | None | $2,290.87 | $2,290.87 | $3,019.95 |
CDPHP Setting Professional Modifier None Typical Low $1,584.89 Median $1,584.89 Typical High $1,584.89 | Professional | None | $1,584.89 | $1,584.89 | $1,584.89 |
Cigna Setting Facility Modifier None Typical Low $2,398.83 Median $2,398.83 Typical High $2,398.83 | Facility | None | $2,398.83 | $2,398.83 | $2,398.83 |
Cigna Setting Professional Modifier None Typical Low $758.58 Median $758.58 Typical High $758.58 | Professional | None | $758.58 | $758.58 | $758.58 |
Emblem Health Setting Facility Modifier None Typical Low $1,949.84 Median $3,162.28 Typical High $6,918.31 | Facility | None | $1,949.84 | $3,162.28 | $6,918.31 |
Emblem Health Setting Professional Modifier None Typical Low $2,041.74 Median $2,137.96 Typical High $2,818.38 | Professional | None | $2,041.74 | $2,137.96 | $2,818.38 |
Excellus BCBS Setting Professional Modifier None Typical Low $1,096.48 Median $1,202.26 Typical High $1,659.59 | Professional | None | $1,096.48 | $1,202.26 | $1,659.59 |
MVP Health Care Setting Facility Modifier None Typical Low $4,365.16 Median $4,365.16 Typical High $4,365.16 | Facility | None | $4,365.16 | $4,365.16 | $4,365.16 |
MVP Health Care Setting Professional Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $2,041.74 | Professional | None | $1,122.02 | $1,122.02 | $2,041.74 |
United Setting Facility Modifier None Typical Low $2,089.30 Median $2,089.30 Typical High $2,754.23 | Facility | None | $2,089.30 | $2,089.30 | $2,754.23 |
United Setting Professional Modifier None Typical Low $676.08 Median $1,023.29 Typical High $1,258.93 | Professional | None | $676.08 | $1,023.29 | $1,258.93 |
Univera Setting Facility Modifier None Typical Low $1,174.90 Median $1,949.84 Typical High $1,949.84 | Facility | None | $1,174.90 | $1,949.84 | $1,949.84 |
Univera Setting Professional Modifier None Typical Low $1,096.48 Median $1,202.26 Typical High $1,995.26 | Professional | None | $1,096.48 | $1,202.26 | $1,995.26 |
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 $489.78 Median $489.78 Typical High $575.44 | Professional | 52 · Reduced service | $489.78 | $489.78 | $575.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $194.98 Median $194.98 Typical High $229.09 | Professional | 53 · Discontinued | $194.98 | $194.98 | $229.09 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $147.91 Median $147.91 Typical High $173.78 | Professional | 55 · Aftercare only | $147.91 | $147.91 | $173.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $97.72 Median $97.72 Typical High $114.82 | Professional | 56 · Pre-op care only | $97.72 | $97.72 | $114.82 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $229.09 Median $229.09 Typical High $229.09 | Professional | RR · Rental | $229.09 | $229.09 | $229.09 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1,737.80 Median $1,737.80 Typical High $1,737.80 | Professional | UE · Used equipment | $1,737.80 | $1,737.80 | $1,737.80 |
Where New York sits
The same service costs 2.7 times more in Montana than in New Jersey. 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· 28th of 51
$1,148
MT $2,042NJ $759
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.