How much rates vary
Facilitymedian $3,548 · 10th to 90th $676 to $9,120Professionalmedian $759 · 10th to 90th $631 to $1,202
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 $4,365.16 Typical High $8,128.31 | Facility | None | $1,548.82 | $4,365.16 | $8,128.31 |
Aetna Setting Professional Modifier None Typical Low $724.44 Median $724.44 Typical High $776.25 | Professional | None | $724.44 | $724.44 | $776.25 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,513.56 Median $4,466.84 Typical High $10,964.78 | Facility | None | $1,513.56 | $4,466.84 | $10,964.78 |
Anthem BCBS Setting Professional Modifier None Typical Low $676.08 Median $794.33 Typical High $912.01 | Professional | None | $676.08 | $794.33 | $912.01 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $107.15 Median $128.82 Typical High $144.54 | Professional | 80 · Assistant surgeon | $107.15 | $128.82 | $144.54 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $95.50 Median $112.20 Typical High $128.82 | Professional | AS · PA/NP assist | $95.50 | $112.20 | $128.82 |
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 $1,071.52 Median $1,071.52 Typical High $1,071.52 | Professional | None | $1,071.52 | $1,071.52 | $1,071.52 |
Cigna Setting Facility Modifier None Typical Low $851.14 Median $1,737.80 Typical High $1,862.09 | Facility | None | $851.14 | $1,737.80 | $1,862.09 |
Cigna Setting Professional Modifier None Typical Low $758.58 Median $758.58 Typical High $1,621.81 | Professional | None | $758.58 | $758.58 | $1,621.81 |
Emblem Health Setting Facility Modifier None Typical Low $691.83 Median $851.14 Typical High $2,691.53 | Facility | None | $691.83 | $851.14 | $2,691.53 |
Emblem Health Setting Professional Modifier None Typical Low $691.83 Median $776.25 Typical High $1,258.93 | Professional | None | $691.83 | $776.25 | $1,258.93 |
Excellus BCBS Setting Professional Modifier None Typical Low $354.81 Median $616.60 Typical High $1,258.93 | Professional | None | $354.81 | $616.60 | $1,258.93 |
MVP Health Care Setting Facility Modifier None Typical Low $851.14 Median $4,786.30 Typical High $5,754.40 | Facility | None | $851.14 | $4,786.30 | $5,754.40 |
MVP Health Care Setting Professional Modifier None Typical Low $630.96 Median $630.96 Typical High $1,380.38 | Professional | None | $630.96 | $630.96 | $1,380.38 |
United Setting Facility Modifier None Typical Low $363.08 Median $1,318.26 Typical High $4,365.16 | Facility | None | $363.08 | $1,318.26 | $4,365.16 |
United Setting Professional Modifier None Typical Low $467.74 Median $724.44 Typical High $1,737.80 | Professional | None | $467.74 | $724.44 | $1,737.80 |
Univera Setting Facility Modifier None Typical Low $416.87 Median $691.83 Typical High $1,288.25 | Facility | None | $416.87 | $691.83 | $1,288.25 |
Univera Setting Professional Modifier None Typical Low $416.87 Median $616.60 Typical High $1,258.93 | Professional | None | $416.87 | $616.60 | $1,258.93 |
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 $363.08 Median $363.08 Typical High $389.05 | Professional | 52 · Reduced service | $363.08 | $363.08 | $389.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $144.54 Median $144.54 Typical High $154.88 | Professional | 53 · Discontinued | $144.54 | $144.54 | $154.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $537.03 Median $537.03 Typical High $588.84 | Professional | 54 · Surgery only | $537.03 | $537.03 | $588.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $109.65 Median $109.65 Typical High $117.49 | Professional | 55 · Aftercare only | $109.65 | $109.65 | $117.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $72.44 Median $72.44 Typical High $77.62 | Professional | 56 · Pre-op care only | $72.44 | $72.44 | $77.62 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $371.54 Median $380.19 Typical High $549.54 | Professional | 53 · Discontinued | $371.54 | $380.19 | $549.54 |
Where New York sits
The same service costs 4.7 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· 43rd of 51
$759
AK $3,020FL $646
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.