How much rates vary
Facilitymedian $6,918 · 10th to 90th $1,698 to $16,596Professionalmedian $2,291 · 10th to 90th $1,820 to $3,890
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 $2,344.23 Median $6,309.57 Typical High $12,882.50 | Facility | None | $2,344.23 | $6,309.57 | $12,882.50 |
Aetna Setting Professional Modifier None Typical Low $2,137.96 Median $2,137.96 Typical High $2,344.23 | Professional | None | $2,137.96 | $2,137.96 | $2,344.23 |
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 $1,949.84 Median $2,290.87 Typical High $3,090.30 | Professional | None | $1,949.84 | $2,290.87 | $3,090.30 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $309.03 Median $363.08 Typical High $489.78 | Professional | 80 · Assistant surgeon | $309.03 | $363.08 | $489.78 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $269.15 Median $316.23 Typical High $426.58 | Professional | AS · PA/NP assist | $269.15 | $316.23 | $426.58 |
CDPHP Setting Professional Modifier None Typical Low $3,235.94 Median $3,235.94 Typical High $3,235.94 | Professional | None | $3,235.94 | $3,235.94 | $3,235.94 |
Cigna Setting Facility Modifier None Typical Low $1,737.80 Median $22,387.21 Typical High $45,708.82 | Facility | None | $1,737.80 | $22,387.21 | $45,708.82 |
Cigna Setting Professional Modifier None Typical Low $2,511.89 Median $2,511.89 Typical High $5,248.07 | Professional | None | $2,511.89 | $2,511.89 | $5,248.07 |
Emblem Health Setting Facility Modifier None Typical Low $2,454.71 Median $3,019.95 Typical High $9,120.11 | Facility | None | $2,454.71 | $3,019.95 | $9,120.11 |
Emblem Health Setting Professional Modifier None Typical Low $2,238.72 Median $2,754.23 Typical High $4,265.80 | Professional | None | $2,238.72 | $2,754.23 | $4,265.80 |
Excellus BCBS Setting Professional Modifier None Typical Low $1,071.52 Median $2,089.30 Typical High $3,801.89 | Professional | None | $1,071.52 | $2,089.30 | $3,801.89 |
MVP Health Care Setting Facility Modifier None Typical Low $2,137.96 Median $5,754.40 Typical High $38,018.94 | Facility | None | $2,137.96 | $5,754.40 | $38,018.94 |
MVP Health Care Setting Professional Modifier None Typical Low $1,862.09 Median $1,862.09 Typical High $4,677.35 | Professional | None | $1,862.09 | $1,862.09 | $4,677.35 |
United Setting Facility Modifier None Typical Low $1,380.38 Median $4,677.35 Typical High $16,982.44 | Facility | None | $1,380.38 | $4,677.35 | $16,982.44 |
United Setting Professional Modifier None Typical Low $1,584.89 Median $2,570.40 Typical High $5,623.41 | Professional | None | $1,584.89 | $2,570.40 | $5,623.41 |
Univera Setting Facility Modifier None Typical Low $1,288.25 Median $2,238.72 Typical High $5,623.41 | Facility | None | $1,288.25 | $2,238.72 | $5,623.41 |
Univera Setting Professional Modifier None Typical Low $1,288.25 Median $2,089.30 Typical High $3,801.89 | Professional | None | $1,288.25 | $2,089.30 | $3,801.89 |
10 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 54 · Surgery only Typical Low $1,621.81 Median $1,621.81 Typical High $1,778.28 | Professional | 54 · Surgery only | $1,621.81 | $1,621.81 | $1,778.28 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,513.56 Median $1,513.56 Typical High $1,659.59 | Professional | 78 · Unplanned return to OR | $1,513.56 | $1,513.56 | $1,659.59 |
Excellus BCBS Setting Professional Modifier 54 · Surgery only Typical Low $870.96 Median $1,698.24 Typical High $3,090.30 | Professional | 54 · Surgery only | $870.96 | $1,698.24 | $3,090.30 |
Excellus BCBS Setting Professional Modifier 55 · Aftercare only Typical Low $204.17 Median $398.11 Typical High $724.44 | Professional | 55 · Aftercare only | $204.17 | $398.11 | $724.44 |
Excellus BCBS Setting Professional Modifier 56 · Pre-op care only Typical Low $107.15 Median $208.93 Typical High $380.19 | Professional | 56 · Pre-op care only | $107.15 | $208.93 | $380.19 |
Excellus BCBS Setting Professional Modifier 78 · Unplanned return to OR Typical Low $776.25 Median $1,479.11 Typical High $2,754.23 | Professional | 78 · Unplanned return to OR | $776.25 | $1,479.11 | $2,754.23 |
Univera Setting Professional Modifier 54 · Surgery only Typical Low $870.96 Median $1,698.24 Typical High $3,090.30 | Professional | 54 · Surgery only | $870.96 | $1,698.24 | $3,090.30 |
Univera Setting Professional Modifier 55 · Aftercare only Typical Low $204.17 Median $398.11 Typical High $1,122.02 | Professional | 55 · Aftercare only | $204.17 | $398.11 | $1,122.02 |
Univera Setting Professional Modifier 56 · Pre-op care only Typical Low $107.15 Median $208.93 Typical High $588.84 | Professional | 56 · Pre-op care only | $107.15 | $208.93 | $588.84 |
Univera Setting Professional Modifier 78 · Unplanned return to OR Typical Low $776.25 Median $1,479.11 Typical High $2,754.23 | Professional | 78 · Unplanned return to OR | $776.25 | $1,479.11 | $2,754.23 |
Where New York sits
The same service costs 14.8 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
$2,291
AK $9,550TX $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.