How much rates vary
Facilitymedian $4,677 · 10th to 90th $631 to $13,490Professionalmedian $589 · 10th to 90th $468 to $1,000
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 $1,513.56 Median $4,677.35 Typical High $10,471.29 | Facility | None | $1,513.56 | $4,677.35 | $10,471.29 |
Aetna Setting Professional Modifier None Typical Low $602.56 Median $616.60 Typical High $630.96 | Professional | None | $602.56 | $616.60 | $630.96 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,778.28 Median $8,511.38 Typical High $15,135.61 | Facility | None | $1,778.28 | $8,511.38 | $15,135.61 |
Anthem BCBS Setting Professional Modifier None Typical Low $489.78 Median $575.44 Typical High $794.33 | Professional | None | $489.78 | $575.44 | $794.33 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $309.03 Median $363.08 Typical High $501.19 | Professional | 62 · Two surgeons | $309.03 | $363.08 | $501.19 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $79.43 Median $93.33 Typical High $128.82 | Professional | 80 · Assistant surgeon | $79.43 | $93.33 | $128.82 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $69.18 Median $81.28 Typical High $125.89 | Professional | AS · PA/NP assist | $69.18 | $81.28 | $125.89 |
CDPHP Setting Professional Modifier None Typical Low $812.83 Median $812.83 Typical High $812.83 | Professional | None | $812.83 | $812.83 | $812.83 |
Cigna Setting Facility Modifier None Typical Low $851.14 Median $1,737.80 Typical High $2,754.23 | Facility | None | $851.14 | $1,737.80 | $2,754.23 |
Cigna 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 |
Emblem Health Setting Facility Modifier None Typical Low $645.65 Median $870.96 Typical High $2,187.76 | Facility | None | $645.65 | $870.96 | $2,187.76 |
Emblem Health Setting Professional Modifier None Typical Low $562.34 Median $630.96 Typical High $1,047.13 | Professional | None | $562.34 | $630.96 | $1,047.13 |
Excellus BCBS Setting Professional Modifier None Typical Low $275.42 Median $489.78 Typical High $977.24 | Professional | None | $275.42 | $489.78 | $977.24 |
MVP Health Care Setting Facility Modifier None Typical Low $602.56 Median $5,754.40 Typical High $38,018.94 | Facility | None | $602.56 | $5,754.40 | $38,018.94 |
MVP Health Care Setting Professional Modifier None Typical Low $616.60 Median $831.76 Typical High $1,348.96 | Professional | None | $616.60 | $831.76 | $1,348.96 |
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 $389.05 Median $602.56 Typical High $1,445.44 | Professional | None | $389.05 | $602.56 | $1,445.44 |
Univera Setting Facility Modifier None Typical Low $323.59 Median $562.34 Typical High $1,737.80 | Facility | None | $323.59 | $562.34 | $1,737.80 |
Univera Setting Professional Modifier None Typical Low $323.59 Median $489.78 Typical High $977.24 | Professional | None | $323.59 | $489.78 | $977.24 |
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 $457.09 Median $467.74 Typical High $467.74 | Professional | 54 · Surgery only | $457.09 | $467.74 | $467.74 |
Where New York sits
The same service costs 19.0 times more in Colorado 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.
Physician feeFacility fee
CO $13,677DE $719
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.