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 $1,995.26 Median $5,623.41 Typical High $9,772.37 | Facility | None | $1,995.26 | $5,623.41 | $9,772.37 |
Aetna Setting Professional Modifier None Typical Low $1,995.26 Median $1,995.26 Typical High $1,995.26 | Professional | None | $1,995.26 | $1,995.26 | $1,995.26 |
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 $1,737.80 Median $2,041.74 Typical High $2,630.27 | Professional | None | $1,737.80 | $2,041.74 | $2,630.27 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $1,096.48 Median $1,288.25 Typical High $1,621.81 | Professional | 62 · Two surgeons | $1,096.48 | $1,288.25 | $1,621.81 |
CDPHP Setting Facility Modifier None Typical Low $3,388.44 Median $4,677.35 Typical High $13,803.84 | Facility | None | $3,388.44 | $4,677.35 | $13,803.84 |
CDPHP Setting Professional Modifier None Typical Low $2,951.21 Median $2,951.21 Typical High $2,951.21 | Professional | None | $2,951.21 | $2,951.21 | $2,951.21 |
Cigna Setting Facility Modifier None Typical Low $1,174.90 Median $1,995.26 Typical High $3,235.94 | Facility | None | $1,174.90 | $1,995.26 | $3,235.94 |
Cigna Setting Professional Modifier None Typical Low $1,778.28 Median $1,778.28 Typical High $4,570.88 | Professional | None | $1,778.28 | $1,778.28 | $4,570.88 |
Emblem Health Setting Facility Modifier None Typical Low $954.99 Median $2,187.76 Typical High $7,413.10 | Facility | None | $954.99 | $2,187.76 | $7,413.10 |
Emblem Health Setting Professional Modifier None Typical Low $2,290.87 Median $2,290.87 Typical High $3,801.89 | Professional | None | $2,290.87 | $2,290.87 | $3,801.89 |
Excellus BCBS Setting Professional Modifier None Typical Low $933.25 Median $1,621.81 Typical High $2,187.76 | Professional | None | $933.25 | $1,621.81 | $2,187.76 |
MVP Health Care Setting Professional Modifier None Typical Low $588.84 Median $588.84 Typical High $4,073.80 | Professional | None | $588.84 | $588.84 | $4,073.80 |
United Setting Facility Modifier None Typical Low $549.54 Median $1,862.09 Typical High $4,897.79 | Facility | None | $549.54 | $1,862.09 | $4,897.79 |
United Setting Professional Modifier None Typical Low $1,258.93 Median $2,089.30 Typical High $4,466.84 | Professional | None | $1,258.93 | $2,089.30 | $4,466.84 |
Univera Setting Facility Modifier None Typical Low $1,122.02 Median $2,187.76 Typical High $4,466.84 | Facility | None | $1,122.02 | $2,187.76 | $4,466.84 |
Univera Setting Professional Modifier None Typical Low $933.25 Median $1,621.81 Typical High $2,187.76 | Professional | None | $933.25 | $1,621.81 | $2,187.76 |
1 more rate 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 54 · Surgery only Typical Low $1,479.11 Median $1,513.56 Typical High $1,513.56 | Professional | 54 · Surgery only | $1,479.11 | $1,513.56 | $1,513.56 |
Where New York sits
The same service costs 4.8 times more in Alaska than in Delaware. 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· 34th of 51
$1,995
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.