How much rates vary
Facilitymedian $2,344 · 10th to 90th $56 to $5,012Professionalmedian $48 · 10th to 90th $35 to $83
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 $38.02 Median $2,951.21 Typical High $7,762.47 | Facility | None | $38.02 | $2,951.21 | $7,762.47 |
Aetna Setting Professional Modifier None Typical Low $35.48 Median $46.77 Typical High $70.79 | Professional | None | $35.48 | $46.77 | $70.79 |
Ambetter Setting Professional Modifier None Typical Low $23.44 Median $28.18 Typical High $61.66 | Professional | None | $23.44 | $28.18 | $61.66 |
Anthem BCBS Setting Facility Modifier None Typical Low $933.25 Median $3,162.28 Typical High $4,897.79 | Facility | None | $933.25 | $3,162.28 | $4,897.79 |
Anthem BCBS Setting Professional Modifier None Typical Low $42.66 Median $50.12 Typical High $66.07 | Professional | None | $42.66 | $50.12 | $66.07 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $63.10 Median $74.13 Typical High $95.50 | Professional | 50 · Both sides | $63.10 | $74.13 | $95.50 |
CDPHP Setting Facility Modifier None Typical Low $2,089.30 Median $2,089.30 Typical High $6,165.95 | Facility | None | $2,089.30 | $2,089.30 | $6,165.95 |
CDPHP Setting Professional Modifier None Typical Low $51.29 Median $51.29 Typical High $72.44 | Professional | None | $51.29 | $51.29 | $72.44 |
Cigna Setting Facility Modifier None Typical Low $44.67 Median $83.18 Typical High $1,479.11 | Facility | None | $44.67 | $83.18 | $1,479.11 |
Cigna Setting Professional Modifier None Typical Low $33.88 Median $50.12 Typical High $114.82 | Professional | None | $33.88 | $50.12 | $114.82 |
Emblem Health Setting Facility Modifier None Typical Low $36.31 Median $45.71 Typical High $128.82 | Facility | None | $36.31 | $45.71 | $128.82 |
Emblem Health Setting Professional Modifier None Typical Low $47.86 Median $66.07 Typical High $114.82 | Professional | None | $47.86 | $66.07 | $114.82 |
Excellus BCBS Setting Professional Modifier None Typical Low $30.20 Median $52.48 Typical High $70.79 | Professional | None | $30.20 | $52.48 | $70.79 |
Fidelis Setting Professional Modifier None Typical Low $50.12 Median $50.12 Typical High $60.26 | Professional | None | $50.12 | $50.12 | $60.26 |
Highmark BCBS Setting Facility Modifier None Typical Low $50.12 Median $147.91 Typical High $323.59 | Facility | None | $50.12 | $147.91 | $323.59 |
Highmark BCBS Setting Professional Modifier None Typical Low $51.29 Median $69.18 Typical High $83.18 | Professional | None | $51.29 | $69.18 | $83.18 |
MVP Health Care Setting Facility Modifier None Typical Low $42.66 Median $42.66 Typical High $42.66 | Facility | None | $42.66 | $42.66 | $42.66 |
MVP Health Care Setting Professional Modifier None Typical Low $52.48 Median $54.95 Typical High $125.89 | Professional | None | $52.48 | $54.95 | $125.89 |
United Setting Facility Modifier None Typical Low $346.74 Median $1,122.02 Typical High $4,365.16 | Facility | None | $346.74 | $1,122.02 | $4,365.16 |
United Setting Professional Modifier None Typical Low $29.51 Median $45.71 Typical High $93.33 | Professional | None | $29.51 | $45.71 | $93.33 |
Univera Setting Facility Modifier None Typical Low $23.99 Median $47.86 Typical High $173.78 | Facility | None | $23.99 | $47.86 | $173.78 |
Univera Setting Professional Modifier None Typical Low $35.48 Median $47.86 Typical High $70.79 | Professional | None | $35.48 | $47.86 | $70.79 |
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 $17.78 Median $23.44 Typical High $27.54 | Professional | 52 · Reduced service | $17.78 | $23.44 | $27.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.08 Median $9.33 Typical High $10.96 | Professional | 53 · Discontinued | $7.08 | $9.33 | $10.96 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $26.30 Median $35.48 Typical High $41.69 | Professional | 54 · Surgery only | $26.30 | $35.48 | $41.69 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.37 Median $7.08 Typical High $8.32 | Professional | 55 · Aftercare only | $5.37 | $7.08 | $8.32 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.55 Median $4.68 Typical High $5.50 | Professional | 56 · Pre-op care only | $3.55 | $4.68 | $5.50 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $25.70 Median $26.92 Typical High $38.02 | Professional | 53 · Discontinued | $25.70 | $26.92 | $38.02 |
Where New York sits
The same service costs 4.1 times more in Alaska than in Florida. 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· 47th of 51
$48.98
AK $174FL $42.66
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.