How much rates vary
Facilitymedian $4,074 · 10th to 90th $1,288 to $10,000Professionalmedian $1,023 · 10th to 90th $813 to $1,995
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 $5,754.40 Typical High $10,232.93 | Facility | None | $1,819.70 | $5,754.40 | $10,232.93 |
Aetna Setting Professional Modifier None Typical Low $1,096.48 Median $1,096.48 Typical High $1,288.25 | Professional | None | $1,096.48 | $1,096.48 | $1,288.25 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,513.56 Median $4,466.84 Typical High $10,964.78 | Facility | None | $1,513.56 | $4,466.84 | $10,964.78 |
Anthem BCBS Setting Professional Modifier None Typical Low $831.76 Median $1,000.00 Typical High $1,288.25 | Professional | None | $831.76 | $1,000.00 | $1,288.25 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $1,258.93 Median $1,513.56 Typical High $1,949.84 | Professional | 50 · Both sides | $1,258.93 | $1,513.56 | $1,949.84 |
CDPHP Setting Facility Modifier None Typical Low $1,905.46 Median $4,073.80 Typical High $12,302.69 | Facility | None | $1,905.46 | $4,073.80 | $12,302.69 |
Cigna Setting Facility Modifier None Typical Low $1,778.28 Median $3,235.94 Typical High $6,309.57 | Facility | None | $1,778.28 | $3,235.94 | $6,309.57 |
Cigna Setting Professional Modifier None Typical Low $831.76 Median $1,548.82 Typical High $2,290.87 | Professional | None | $831.76 | $1,548.82 | $2,290.87 |
Emblem Health Setting Facility Modifier None Typical Low $691.83 Median $933.25 Typical High $3,235.94 | Facility | None | $691.83 | $933.25 | $3,235.94 |
Emblem Health Setting Professional Modifier None Typical Low $302.00 Median $1,778.28 Typical High $2,290.87 | Professional | None | $302.00 | $1,778.28 | $2,290.87 |
Excellus BCBS Setting Professional Modifier None Typical Low $426.58 Median $1,023.29 Typical High $1,479.11 | Professional | None | $426.58 | $1,023.29 | $1,479.11 |
MVP Health Care Setting Facility Modifier None Typical Low $537.03 Median $537.03 Typical High $537.03 | Facility | None | $537.03 | $537.03 | $537.03 |
MVP Health Care Setting Professional Modifier None Typical Low $2,089.30 Median $2,089.30 Typical High $2,089.30 | Professional | None | $2,089.30 | $2,089.30 | $2,089.30 |
United Setting Facility Modifier None Typical Low $1,202.26 Median $3,162.28 Typical High $9,549.93 | Facility | None | $1,202.26 | $3,162.28 | $9,549.93 |
United Setting Professional Modifier None Typical Low $724.44 Median $1,174.90 Typical High $2,137.96 | Professional | None | $724.44 | $1,174.90 | $2,137.96 |
Univera Setting Facility Modifier None Typical Low $302.00 Median $933.25 Typical High $2,818.38 | Facility | None | $302.00 | $933.25 | $2,818.38 |
Univera Setting Professional Modifier None Typical Low $426.58 Median $1,023.29 Typical High $1,479.11 | Professional | None | $426.58 | $1,023.29 | $1,479.11 |
5 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 $549.54 Median $549.54 Typical High $575.44 | Professional | 52 · Reduced service | $549.54 | $549.54 | $575.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $218.78 Median $218.78 Typical High $229.09 | Professional | 53 · Discontinued | $218.78 | $218.78 | $229.09 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $831.76 Median $831.76 Typical High $851.14 | Professional | 54 · Surgery only | $831.76 | $831.76 | $851.14 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $165.96 Median $165.96 Typical High $169.82 | Professional | 55 · Aftercare only | $165.96 | $165.96 | $169.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $109.65 Median $109.65 Typical High $114.82 | Professional | 56 · Pre-op care only | $109.65 | $109.65 | $114.82 |
Where New York sits
The same service costs 4.8 times more in Alaska than in New York. 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· 51st of 51
$1,072
AK $5,129NY $1,072
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.