How much rates vary
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 $1,548.82 Median $4,168.69 Typical High $8,128.31 | Facility | None | $1,548.82 | $4,168.69 | $8,128.31 |
Aetna Setting Professional Modifier None Typical Low $831.76 Median $6,309.57 Typical High $11,481.54 | Professional | None | $831.76 | $6,309.57 | $11,481.54 |
Anthem BCBS Setting Professional Modifier None Typical Low $426.58 Median $7,585.78 Typical High $8,317.64 | Professional | None | $426.58 | $7,585.78 | $8,317.64 |
CDPHP Setting Facility Modifier None Typical Low $1,348.96 Median $1,348.96 Typical High $4,073.80 | Facility | None | $1,348.96 | $1,348.96 | $4,073.80 |
Cigna Setting Facility Modifier None Typical Low $851.14 Median $1,778.28 Typical High $2,754.23 | Facility | None | $851.14 | $1,778.28 | $2,754.23 |
Cigna Setting Professional Modifier None Typical Low $7,762.47 Median $8,912.51 Typical High $8,912.51 | Professional | None | $7,762.47 | $8,912.51 | $8,912.51 |
Emblem Health Setting Facility Modifier None Typical Low $3,548.13 Median $3,548.13 Typical High $3,548.13 | Facility | None | $3,548.13 | $3,548.13 | $3,548.13 |
Highmark BCBS Setting Facility Modifier None Typical Low $588.84 Median $3,801.89 Typical High $7,585.78 | Facility | None | $588.84 | $3,801.89 | $7,585.78 |
Highmark BCBS Setting Professional Modifier None Typical Low $7.08 Median $7.08 Typical High $87.10 | Professional | None | $7.08 | $7.08 | $87.10 |
MVP Health Care Setting Professional Modifier None Typical Low $398.11 Median $398.11 Typical High $398.11 | Professional | None | $398.11 | $398.11 | $398.11 |
United Setting Facility Modifier None Typical Low $363.08 Median $1,148.15 Typical High $4,365.16 | Facility | None | $363.08 | $1,148.15 | $4,365.16 |
United Setting Professional Modifier None Typical Low $64.57 Median $64.57 Typical High $64.57 | Professional | None | $64.57 | $64.57 | $64.57 |
3 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 |
|---|---|---|---|---|---|
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $269.15 Median $4,786.30 Typical High $5,128.61 | Professional | 62 · Two surgeons | $269.15 | $4,786.30 | $5,128.61 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $67.61 Median $1,202.26 Typical High $1,318.26 | Professional | 80 · Assistant surgeon | $67.61 | $1,202.26 | $1,318.26 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $58.88 Median $1,071.52 Typical High $1,148.15 | Professional | AS · PA/NP assist | $58.88 | $1,071.52 | $1,148.15 |
Where New York sits
The same service costs 125.9 times more in Alaska than in Michigan. 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· 4th of 51
$2,344
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.