How much rates vary
Facilitymedian $3,388 · 10th to 90th $1,047 to $7,586Professionalmedian $851 · 10th to 90th $676 to $1,514
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 $1,819.70 Median $5,623.41 Typical High $9,772.37 | Facility | None | $1,819.70 | $5,623.41 | $9,772.37 |
Aetna Setting Professional Modifier None Typical Low $912.01 Median $954.99 Typical High $954.99 | Professional | None | $912.01 | $954.99 | $954.99 |
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 $707.95 Median $831.76 Typical High $1,230.27 | Professional | None | $707.95 | $831.76 | $1,230.27 |
CDPHP Setting Professional Modifier None Typical Low $1,230.27 Median $1,230.27 Typical High $1,230.27 | Professional | None | $1,230.27 | $1,230.27 | $1,230.27 |
Cigna Setting Facility Modifier None Typical Low $1,348.96 Median $1,862.09 Typical High $3,801.89 | Facility | None | $1,348.96 | $1,862.09 | $3,801.89 |
Cigna Setting Professional Modifier None Typical Low $933.25 Median $933.25 Typical High $2,041.74 | Professional | None | $933.25 | $933.25 | $2,041.74 |
Emblem Health Setting Facility Modifier None Typical Low $724.44 Median $1,174.90 Typical High $3,715.35 | Facility | None | $724.44 | $1,174.90 | $3,715.35 |
Emblem Health Setting Professional Modifier None Typical Low $831.76 Median $1,122.02 Typical High $1,737.80 | Professional | None | $831.76 | $1,122.02 | $1,737.80 |
Excellus BCBS Setting Professional Modifier None Typical Low $501.19 Median $870.96 Typical High $1,174.90 | Professional | None | $501.19 | $870.96 | $1,174.90 |
MVP Health Care Setting Facility Modifier None Typical Low $758.58 Median $4,786.30 Typical High $5,754.40 | Facility | None | $758.58 | $4,786.30 | $5,754.40 |
MVP Health Care Setting Professional Modifier None Typical Low $588.84 Median $588.84 Typical High $2,290.87 | Professional | None | $588.84 | $588.84 | $2,290.87 |
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 $616.60 Median $933.25 Typical High $2,238.72 | Professional | None | $616.60 | $933.25 | $2,238.72 |
Univera Setting Facility Modifier None Typical Low $588.84 Median $831.76 Typical High $2,630.27 | Facility | None | $588.84 | $831.76 | $2,630.27 |
Univera Setting Professional Modifier None Typical Low $588.84 Median $831.76 Typical High $1,174.90 | Professional | None | $588.84 | $831.76 | $1,174.90 |
15 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 $457.09 Median $478.63 Typical High $478.63 | Professional | 52 · Reduced service | $457.09 | $478.63 | $478.63 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $181.97 Median $190.55 Typical High $190.55 | Professional | 53 · Discontinued | $181.97 | $190.55 | $190.55 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $676.08 Median $707.95 Typical High $707.95 | Professional | 54 · Surgery only | $676.08 | $707.95 | $707.95 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $134.90 Median $141.25 Typical High $141.25 | Professional | 55 · Aftercare only | $134.90 | $141.25 | $141.25 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $91.20 Median $95.50 Typical High $95.50 | Professional | 56 · Pre-op care only | $91.20 | $95.50 | $95.50 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $630.96 Median $660.69 Typical High $660.69 | Professional | 78 · Unplanned return to OR | $630.96 | $660.69 | $660.69 |
Excellus BCBS Setting Professional Modifier 54 · Surgery only Typical Low $398.11 Median $691.83 Typical High $912.01 | Professional | 54 · Surgery only | $398.11 | $691.83 | $912.01 |
Excellus BCBS Setting Professional Modifier 55 · Aftercare only Typical Low $104.71 Median $181.97 Typical High $245.47 | Professional | 55 · Aftercare only | $104.71 | $181.97 | $245.47 |
Excellus BCBS Setting Professional Modifier 56 · Pre-op care only Typical Low $50.12 Median $87.10 Typical High $117.49 | Professional | 56 · Pre-op care only | $50.12 | $87.10 | $117.49 |
Excellus BCBS Setting Professional Modifier 78 · Unplanned return to OR Typical Low $346.74 Median $602.56 Typical High $794.33 | Professional | 78 · Unplanned return to OR | $346.74 | $602.56 | $794.33 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $446.68 Median $446.68 Typical High $724.44 | Professional | 53 · Discontinued | $446.68 | $446.68 | $724.44 |
Univera Setting Professional Modifier 54 · Surgery only Typical Low $398.11 Median $691.83 Typical High $912.01 | Professional | 54 · Surgery only | $398.11 | $691.83 | $912.01 |
Univera Setting Professional Modifier 55 · Aftercare only Typical Low $104.71 Median $181.97 Typical High $478.63 | Professional | 55 · Aftercare only | $104.71 | $181.97 | $478.63 |
Univera Setting Professional Modifier 56 · Pre-op care only Typical Low $50.12 Median $87.10 Typical High $229.09 | Professional | 56 · Pre-op care only | $50.12 | $87.10 | $229.09 |
Univera Setting Professional Modifier 78 · Unplanned return to OR Typical Low $346.74 Median $602.56 Typical High $831.76 | Professional | 78 · Unplanned return to OR | $346.74 | $602.56 | $831.76 |
Where New York sits
The same service costs 7.6 times more in Alaska than in Texas. 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· 41st of 51
$871
AK $3,715TX $490
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.