How much rates vary
Facilitymedian $3,311 · 10th to 90th $955 to $7,586Professionalmedian $832 · 10th to 90th $589 to $1,514
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 $1,819.70 Median $5,623.41 Typical High $9,772.37 | Facility | None | $1,819.70 | $5,623.41 | $9,772.37 |
Aetna Setting Professional Modifier None Typical Low $645.65 Median $794.33 Typical High $933.25 | Professional | None | $645.65 | $794.33 | $933.25 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,288.25 Median $3,890.45 Typical High $7,943.28 | Facility | None | $1,288.25 | $3,890.45 | $7,943.28 |
Anthem BCBS Setting Professional Modifier None Typical Low $691.83 Median $851.14 Typical High $1,513.56 | Professional | None | $691.83 | $851.14 | $1,513.56 |
CDPHP Setting Facility Modifier None Typical Low $1,905.46 Median $2,951.21 Typical High $8,912.51 | Facility | None | $1,905.46 | $2,951.21 | $8,912.51 |
CDPHP Setting Professional Modifier None Typical Low $1,023.29 Median $1,023.29 Typical High $1,288.25 | Professional | None | $1,023.29 | $1,023.29 | $1,288.25 |
Cigna Setting Facility Modifier None Typical Low $1,230.27 Median $1,905.46 Typical High $3,890.45 | Facility | None | $1,230.27 | $1,905.46 | $3,890.45 |
Cigna Setting Professional Modifier None Typical Low $478.63 Median $933.25 Typical High $1,548.82 | Professional | None | $478.63 | $933.25 | $1,548.82 |
Emblem Health Setting Facility Modifier None Typical Low $575.44 Median $812.83 Typical High $2,630.27 | Facility | None | $575.44 | $812.83 | $2,630.27 |
Emblem Health Setting Professional Modifier None Typical Low $1,071.52 Median $1,174.90 Typical High $2,041.74 | Professional | None | $1,071.52 | $1,174.90 | $2,041.74 |
Excellus BCBS Setting Professional Modifier None Typical Low $602.56 Median $831.76 Typical High $1,047.13 | Professional | None | $602.56 | $831.76 | $1,047.13 |
MVP Health Care Setting Facility Modifier None Typical Low $707.95 Median $4,786.30 Typical High $5,754.40 | Facility | None | $707.95 | $4,786.30 | $5,754.40 |
MVP Health Care Setting Professional Modifier None Typical Low $691.83 Median $691.83 Typical High $1,584.89 | Professional | None | $691.83 | $691.83 | $1,584.89 |
United Setting Facility Modifier None Typical Low $831.76 Median $2,290.87 Typical High $6,309.57 | Facility | None | $831.76 | $2,290.87 | $6,309.57 |
United Setting Professional Modifier None Typical Low $478.63 Median $812.83 Typical High $1,513.56 | Professional | None | $478.63 | $812.83 | $1,513.56 |
Univera Setting Facility Modifier None Typical Low $537.03 Median $831.76 Typical High $2,344.23 | Facility | None | $537.03 | $831.76 | $2,344.23 |
Univera Setting Professional Modifier None Typical Low $602.56 Median $831.76 Typical High $1,047.13 | Professional | None | $602.56 | $831.76 | $1,047.13 |
15 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 $323.59 Median $398.11 Typical High $416.87 | Professional | 52 · Reduced service | $323.59 | $398.11 | $416.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $128.82 Median $158.49 Typical High $165.96 | Professional | 53 · Discontinued | $128.82 | $158.49 | $165.96 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $478.63 Median $588.84 Typical High $616.60 | Professional | 54 · Surgery only | $478.63 | $588.84 | $616.60 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $95.50 Median $117.49 Typical High $123.03 | Professional | 55 · Aftercare only | $95.50 | $117.49 | $123.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $64.57 Median $79.43 Typical High $83.18 | Professional | 56 · Pre-op care only | $64.57 | $79.43 | $83.18 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $446.68 Median $549.54 Typical High $575.44 | Professional | 78 · Unplanned return to OR | $446.68 | $549.54 | $575.44 |
Excellus BCBS Setting Professional Modifier 54 · Surgery only Typical Low $489.78 Median $707.95 Typical High $851.14 | Professional | 54 · Surgery only | $489.78 | $707.95 | $851.14 |
Excellus BCBS Setting Professional Modifier 55 · Aftercare only Typical Low $114.82 Median $165.96 Typical High $199.53 | Professional | 55 · Aftercare only | $114.82 | $165.96 | $199.53 |
Excellus BCBS Setting Professional Modifier 56 · Pre-op care only Typical Low $60.26 Median $87.10 Typical High $104.71 | Professional | 56 · Pre-op care only | $60.26 | $87.10 | $104.71 |
Excellus BCBS Setting Professional Modifier 78 · Unplanned return to OR Typical Low $436.52 Median $616.60 Typical High $741.31 | Professional | 78 · Unplanned return to OR | $436.52 | $616.60 | $741.31 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $467.74 Median $602.56 Typical High $707.95 | Professional | 53 · Discontinued | $467.74 | $602.56 | $707.95 |
Univera Setting Professional Modifier 54 · Surgery only Typical Low $489.78 Median $758.58 Typical High $851.14 | Professional | 54 · Surgery only | $489.78 | $758.58 | $851.14 |
Univera Setting Professional Modifier 55 · Aftercare only Typical Low $114.82 Median $177.83 Typical High $223.87 | Professional | 55 · Aftercare only | $114.82 | $177.83 | $223.87 |
Univera Setting Professional Modifier 56 · Pre-op care only Typical Low $60.26 Median $93.33 Typical High $120.23 | Professional | 56 · Pre-op care only | $60.26 | $93.33 | $120.23 |
Univera Setting Professional Modifier 78 · Unplanned return to OR Typical Low $436.52 Median $660.69 Typical High $831.76 | Professional | 78 · Unplanned return to OR | $436.52 | $660.69 | $831.76 |
Where New York sits
The same service costs 3.7 times more in Alaska than in Delaware. 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.
Physician feeFacility fee
AK $6,113DE $1,645
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.