How much rates vary
Facilitymedian $295 · 10th to 90th $295 to $692Professionalmedian $224 · 10th to 90th $178 to $324
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 $107.15 Median $190.55 Typical High $223.87 | Facility | None | $107.15 | $190.55 | $223.87 |
Aetna Setting Professional Modifier None Typical Low $190.55 Median $190.55 Typical High $223.87 | Professional | None | $190.55 | $190.55 | $223.87 |
Anthem BCBS Setting Facility Modifier None Typical Low $380.19 Median $380.19 Typical High $758.58 | Facility | None | $380.19 | $380.19 | $758.58 |
Anthem BCBS Setting Professional Modifier None Typical Low $302.00 Median $302.00 Typical High $562.34 | Professional | None | $302.00 | $302.00 | $562.34 |
CDPHP Setting Professional Modifier None Typical Low $309.03 Median $309.03 Typical High $309.03 | Professional | None | $309.03 | $309.03 | $309.03 |
Cigna Setting Facility Modifier None Typical Low $575.44 Median $575.44 Typical High $575.44 | Facility | None | $575.44 | $575.44 | $575.44 |
Cigna Setting Professional Modifier None Typical Low $177.83 Median $177.83 Typical High $177.83 | Professional | None | $177.83 | $177.83 | $177.83 |
Emblem Health Setting Facility Modifier None Typical Low $380.19 Median $630.96 Typical High $1,380.38 | Facility | None | $380.19 | $630.96 | $1,380.38 |
Emblem Health Setting Professional Modifier None Typical Low $398.11 Median $416.87 Typical High $549.54 | Professional | None | $398.11 | $416.87 | $549.54 |
Excellus BCBS Setting Facility Modifier None Typical Low $295.12 Median $295.12 Typical High $295.12 | Facility | None | $295.12 | $295.12 | $295.12 |
Excellus BCBS Setting Professional Modifier None Typical Low $213.80 Median $234.42 Typical High $323.59 | Professional | None | $213.80 | $234.42 | $323.59 |
MVP Health Care Setting Professional Modifier None Typical Low $218.78 Median $218.78 Typical High $489.78 | Professional | None | $218.78 | $218.78 | $489.78 |
United Setting Facility Modifier None Typical Low $501.19 Median $501.19 Typical High $645.65 | Facility | None | $501.19 | $501.19 | $645.65 |
United Setting Professional Modifier None Typical Low $151.36 Median $199.53 Typical High $245.47 | Professional | None | $151.36 | $199.53 | $245.47 |
Univera Setting Facility Modifier None Typical Low $245.47 Median $295.12 Typical High $380.19 | Facility | None | $245.47 | $295.12 | $380.19 |
Univera Setting Professional Modifier None Typical Low $213.80 Median $234.42 Typical High $380.19 | Professional | None | $213.80 | $234.42 | $380.19 |
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 $95.50 Median $95.50 Typical High $112.20 | Professional | 52 · Reduced service | $95.50 | $95.50 | $112.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.02 Median $38.02 Typical High $44.67 | Professional | 53 · Discontinued | $38.02 | $38.02 | $44.67 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $28.84 Median $28.84 Typical High $33.88 | Professional | 55 · Aftercare only | $28.84 | $28.84 | $33.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $19.05 Median $19.05 Typical High $22.39 | Professional | 56 · Pre-op care only | $19.05 | $19.05 | $22.39 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | RR · Rental | $30.20 | $30.20 | $30.20 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $223.87 Median $223.87 Typical High $223.87 | Professional | UE · Used equipment | $223.87 | $223.87 | $223.87 |
Where New York sits
The same service costs 4.4 times more in Hawaii than in Florida. 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· 35th of 51
$229
HI $776FL $178
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.