How much rates vary
Facilitymedian $3,802 · 10th to 90th $1,175 to $9,333Professionalmedian $794 · 10th to 90th $631 to $1,349
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 $4,677.35 Typical High $10,471.29 | Facility | None | $1,548.82 | $4,677.35 | $10,471.29 |
Aetna Setting Professional Modifier None Typical Low $831.76 Median $891.25 Typical High $891.25 | Professional | None | $831.76 | $891.25 | $891.25 |
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 $676.08 Median $794.33 Typical High $1,096.48 | Professional | None | $676.08 | $794.33 | $1,096.48 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $107.15 Median $125.89 Typical High $173.78 | Professional | 80 · Assistant surgeon | $107.15 | $125.89 | $173.78 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $93.33 Median $109.65 Typical High $151.36 | Professional | AS · PA/NP assist | $93.33 | $109.65 | $151.36 |
CDPHP Setting Professional Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $1,122.02 | Professional | None | $1,122.02 | $1,122.02 | $1,122.02 |
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 $794.33 Median $794.33 Typical High $1,862.09 | Professional | None | $794.33 | $794.33 | $1,862.09 |
Emblem Health Setting Facility Modifier None Typical Low $831.76 Median $1,318.26 Typical High $2,818.38 | Facility | None | $831.76 | $1,318.26 | $2,818.38 |
Emblem Health Setting Professional Modifier None Typical Low $741.31 Median $812.83 Typical High $1,348.96 | Professional | None | $741.31 | $812.83 | $1,348.96 |
Excellus BCBS Setting Professional Modifier None Typical Low $371.54 Median $660.69 Typical High $1,318.26 | Professional | None | $371.54 | $660.69 | $1,318.26 |
MVP Health Care Setting Facility Modifier None Typical Low $912.01 Median $5,754.40 Typical High $38,018.94 | Facility | None | $912.01 | $5,754.40 | $38,018.94 |
MVP Health Care Setting Professional Modifier None Typical Low $851.14 Median $1,122.02 Typical High $2,041.74 | Professional | None | $851.14 | $1,122.02 | $2,041.74 |
United Setting Facility Modifier None Typical Low $1,318.26 Median $4,073.80 Typical High $12,882.50 | Facility | None | $1,318.26 | $4,073.80 | $12,882.50 |
United Setting Professional Modifier None Typical Low $489.78 Median $831.76 Typical High $1,905.46 | Professional | None | $489.78 | $831.76 | $1,905.46 |
Univera Setting Facility Modifier None Typical Low $436.52 Median $741.31 Typical High $3,715.35 | Facility | None | $436.52 | $741.31 | $3,715.35 |
Univera Setting Professional Modifier None Typical Low $436.52 Median $660.69 Typical High $1,318.26 | Professional | None | $436.52 | $660.69 | $1,318.26 |
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 $416.87 Median $446.68 Typical High $446.68 | Professional | 52 · Reduced service | $416.87 | $446.68 | $446.68 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $165.96 Median $177.83 Typical High $177.83 | Professional | 53 · Discontinued | $165.96 | $177.83 | $177.83 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $616.60 Median $660.69 Typical High $676.08 | Professional | 54 · Surgery only | $616.60 | $660.69 | $676.08 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $123.03 Median $131.83 Typical High $134.90 | Professional | 55 · Aftercare only | $123.03 | $131.83 | $134.90 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $83.18 Median $89.13 Typical High $89.13 | Professional | 56 · Pre-op care only | $83.18 | $89.13 | $89.13 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $426.58 Median $426.58 Typical High $616.60 | Professional | 53 · Discontinued | $426.58 | $426.58 | $616.60 |
Where New York sits
The same service costs 4.6 times more in Alaska than in Kentucky. 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
AK $9,843KY $2,122
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.