How much rates vary
Facilitymedian $4,266 · 10th to 90th $1,445 to $10,000Professionalmedian $1,950 · 10th to 90th $1,514 to $3,236
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 $1,995.26 Median $5,754.40 Typical High $10,232.93 | Facility | None | $1,995.26 | $5,754.40 | $10,232.93 |
Aetna Setting Professional Modifier None Typical Low $2,089.30 Median $2,089.30 Typical High $2,454.71 | Professional | None | $2,089.30 | $2,089.30 | $2,454.71 |
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 $1,584.89 Median $1,905.46 Typical High $2,454.71 | Professional | None | $1,584.89 | $1,905.46 | $2,454.71 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $2,398.83 Median $2,884.03 Typical High $3,630.78 | Professional | 50 · Both sides | $2,398.83 | $2,884.03 | $3,630.78 |
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 $1,584.89 Median $2,951.21 Typical High $4,365.16 | Professional | None | $1,584.89 | $2,951.21 | $4,365.16 |
Emblem Health Setting Facility Modifier None Typical Low $1,621.81 Median $2,137.96 Typical High $6,918.31 | Facility | None | $1,621.81 | $2,137.96 | $6,918.31 |
Emblem Health Setting Professional Modifier None Typical Low $851.14 Median $4,073.80 Typical High $5,370.32 | Professional | None | $851.14 | $4,073.80 | $5,370.32 |
Excellus BCBS Setting Professional Modifier None Typical Low $1,202.26 Median $1,949.84 Typical High $2,754.23 | Professional | None | $1,202.26 | $1,949.84 | $2,754.23 |
MVP Health Care Setting Facility Modifier None Typical Low $1,548.82 Median $1,548.82 Typical High $1,548.82 | Facility | None | $1,548.82 | $1,548.82 | $1,548.82 |
MVP Health Care Setting Professional Modifier None Typical Low $3,019.95 Median $3,019.95 Typical High $3,019.95 | Professional | None | $3,019.95 | $3,019.95 | $3,019.95 |
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 $1,380.38 Median $2,238.72 Typical High $4,073.80 | Professional | None | $1,380.38 | $2,238.72 | $4,073.80 |
Univera Setting Facility Modifier None Typical Low $851.14 Median $1,737.80 Typical High $6,456.54 | Facility | None | $851.14 | $1,737.80 | $6,456.54 |
Univera Setting Professional Modifier None Typical Low $1,202.26 Median $1,949.84 Typical High $2,754.23 | Professional | None | $1,202.26 | $1,949.84 | $2,754.23 |
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 $1,047.13 Median $1,047.13 Typical High $1,071.52 | Professional | 52 · Reduced service | $1,047.13 | $1,047.13 | $1,071.52 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $416.87 Median $416.87 Typical High $426.58 | Professional | 53 · Discontinued | $416.87 | $416.87 | $426.58 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,548.82 Median $1,548.82 Typical High $1,621.81 | Professional | 54 · Surgery only | $1,548.82 | $1,548.82 | $1,621.81 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $309.03 Median $309.03 Typical High $323.59 | Professional | 55 · Aftercare only | $309.03 | $309.03 | $323.59 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $208.93 Median $208.93 Typical High $213.80 | Professional | 56 · Pre-op care only | $208.93 | $208.93 | $213.80 |
Where New York sits
The same service costs 7.1 times more in Alaska than in Kentucky. 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· 48th of 51
$1,995
AK $9,772KY $1,380
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.