How much rates vary
Facilitymedian $4,169 · 10th to 90th $1,288 to $10,000Professionalmedian $692 · 10th to 90th $603 to $871
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 $1,621.81 Median $5,370.32 Typical High $9,772.37 | Facility | None | $1,621.81 | $5,370.32 | $9,772.37 |
Aetna Setting Professional Modifier None Typical Low $660.69 Median $660.69 Typical High $691.83 | Professional | None | $660.69 | $660.69 | $691.83 |
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 $575.44 Median $724.44 Typical High $912.01 | Professional | None | $575.44 | $724.44 | $912.01 |
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 $676.08 Median $676.08 Typical High $676.08 | Professional | None | $676.08 | $676.08 | $676.08 |
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 $363.08 Median $3,715.35 Typical High $4,265.80 | Professional | None | $363.08 | $3,715.35 | $4,265.80 |
Emblem Health Setting Facility Modifier None Typical Low $446.68 Median $446.68 Typical High $912.01 | Facility | None | $446.68 | $446.68 | $912.01 |
Excellus BCBS Setting Professional Modifier None Typical Low $630.96 Median $645.65 Typical High $758.58 | Professional | None | $630.96 | $645.65 | $758.58 |
Highmark BCBS Setting Facility Modifier None Typical Low $2,691.53 Median $3,715.35 Typical High $5,623.41 | Facility | None | $2,691.53 | $3,715.35 | $5,623.41 |
MVP Health Care Setting Professional Modifier None Typical Low $398.11 Median $398.11 Typical High $954.99 | Professional | None | $398.11 | $398.11 | $954.99 |
United Setting Facility Modifier None Typical Low $1,230.27 Median $3,162.28 Typical High $9,549.93 | Facility | None | $1,230.27 | $3,162.28 | $9,549.93 |
United Setting Professional Modifier None Typical Low $64.57 Median $870.96 Typical High $870.96 | Professional | None | $64.57 | $870.96 | $870.96 |
Univera Setting Facility Modifier None Typical Low $660.69 Median $758.58 Typical High $2,630.27 | Facility | None | $660.69 | $758.58 | $2,630.27 |
Univera Setting Professional Modifier None Typical Low $630.96 Median $645.65 Typical High $758.58 | Professional | None | $630.96 | $645.65 | $758.58 |
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 $331.13 Median $331.13 Typical High $331.13 | Professional | 52 · Reduced service | $331.13 | $331.13 | $331.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $131.83 Median $131.83 Typical High $131.83 | Professional | 53 · Discontinued | $131.83 | $131.83 | $131.83 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $489.78 Median $489.78 Typical High $489.78 | Professional | 54 · Surgery only | $489.78 | $489.78 | $489.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $97.72 Median $97.72 Typical High $97.72 | Professional | 55 · Aftercare only | $97.72 | $97.72 | $97.72 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $66.07 Median $66.07 Typical High $66.07 | Professional | 56 · Pre-op care only | $66.07 | $66.07 | $66.07 |
Where New York sits
The same service costs 74.1 times more in Oklahoma than in Montana. 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· 39th of 51
$724
OK $5,888MT $79.43
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.