How much rates vary
Facilitymedian $3,162 · 10th to 90th $759 to $7,413Professionalmedian $155 · 10th to 90th $71 to $295
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 $1,348.96 Median $4,265.80 Typical High $9,772.37 | Facility | None | $1,348.96 | $4,265.80 | $9,772.37 |
Aetna Setting Professional Modifier None Typical Low $61.66 Median $131.83 Typical High $204.17 | Professional | None | $61.66 | $131.83 | $204.17 |
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 $141.25 Median $169.82 Typical High $281.84 | Professional | None | $141.25 | $169.82 | $281.84 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $213.80 Median $257.04 Typical High $416.87 | Professional | 50 · Both sides | $213.80 | $257.04 | $416.87 |
CDPHP Setting Facility Modifier None Typical Low $1,148.15 Median $1,348.96 Typical High $4,073.80 | Facility | None | $1,148.15 | $1,348.96 | $4,073.80 |
CDPHP Setting Professional Modifier None Typical Low $97.72 Median $97.72 Typical High $223.87 | Professional | None | $97.72 | $97.72 | $223.87 |
Cigna Setting Facility Modifier None Typical Low $870.96 Median $1,288.25 Typical High $2,570.40 | Facility | None | $870.96 | $1,288.25 | $2,570.40 |
Cigna Setting Professional Modifier None Typical Low $58.88 Median $125.89 Typical High $446.68 | Professional | None | $58.88 | $125.89 | $446.68 |
Emblem Health Setting Facility Modifier None Typical Low $34.67 Median $74.13 Typical High $239.88 | Facility | None | $34.67 | $74.13 | $239.88 |
Emblem Health Setting Professional Modifier None Typical Low $190.55 Median $208.93 Typical High $331.13 | Professional | None | $190.55 | $208.93 | $331.13 |
Excellus BCBS Setting Professional Modifier None Typical Low $97.72 Median $138.04 Typical High $181.97 | Professional | None | $97.72 | $138.04 | $181.97 |
Highmark BCBS Setting Facility Modifier None Typical Low $5,248.07 Median $5,248.07 Typical High $5,248.07 | Facility | None | $5,248.07 | $5,248.07 | $5,248.07 |
MVP Health Care Setting Facility Modifier None Typical Low $128.82 Median $128.82 Typical High $128.82 | Facility | None | $128.82 | $128.82 | $128.82 |
MVP Health Care Setting Professional Modifier None Typical Low $109.65 Median $109.65 Typical High $389.05 | Professional | None | $109.65 | $109.65 | $389.05 |
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 $50.12 Median $117.49 Typical High $354.81 | Professional | None | $50.12 | $117.49 | $354.81 |
Univera Setting Facility Modifier None Typical Low $50.12 Median $144.54 Typical High $251.19 | Facility | None | $50.12 | $144.54 | $251.19 |
Univera Setting Professional Modifier None Typical Low $97.72 Median $138.04 Typical High $173.78 | Professional | None | $97.72 | $138.04 | $173.78 |
6 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 $30.90 Median $66.07 Typical High $72.44 | Professional | 52 · Reduced service | $30.90 | $66.07 | $72.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.59 Median $26.30 Typical High $28.84 | Professional | 53 · Discontinued | $12.59 | $26.30 | $28.84 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $46.77 Median $97.72 Typical High $109.65 | Professional | 54 · Surgery only | $46.77 | $97.72 | $109.65 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $9.33 Median $19.50 Typical High $21.88 | Professional | 55 · Aftercare only | $9.33 | $19.50 | $21.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.17 Median $13.18 Typical High $14.45 | Professional | 56 · Pre-op care only | $6.17 | $13.18 | $14.45 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $77.62 Median $104.71 Typical High $147.91 | Professional | 53 · Discontinued | $77.62 | $104.71 | $147.91 |
Where New York sits
The same service costs 4.9 times more in Alaska than in Hawaii. 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· 23rd of 51
$162
AK $437HI $89.13
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.