How much rates vary
Facilitymedian $4,074 · 10th to 90th $1,259 to $10,233Professionalmedian $776 · 10th to 90th $646 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 $1,819.70 Median $6,025.60 Typical High $10,964.78 | Facility | None | $1,819.70 | $6,025.60 | $10,964.78 |
Aetna Setting Professional Modifier None Typical Low $776.25 Median $776.25 Typical High $912.01 | Professional | None | $776.25 | $776.25 | $912.01 |
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 $660.69 Median $776.25 Typical High $1,071.52 | Professional | None | $660.69 | $776.25 | $1,071.52 |
CDPHP Setting Facility Modifier None Typical Low $2,290.87 Median $3,630.78 Typical High $10,964.78 | Facility | None | $2,290.87 | $3,630.78 | $10,964.78 |
CDPHP Setting Professional Modifier None Typical Low $1,230.27 Median $1,230.27 Typical High $1,230.27 | Professional | None | $1,230.27 | $1,230.27 | $1,230.27 |
Cigna Setting Facility Modifier None Typical Low $1,412.54 Median $2,754.23 Typical High $5,623.41 | Facility | None | $1,412.54 | $2,754.23 | $5,623.41 |
Cigna Setting Professional Modifier None Typical Low $851.14 Median $851.14 Typical High $1,862.09 | Professional | None | $851.14 | $851.14 | $1,862.09 |
Emblem Health Setting Facility Modifier None Typical Low $912.01 Median $1,096.48 Typical High $3,467.37 | Facility | None | $912.01 | $1,096.48 | $3,467.37 |
Emblem Health Setting Professional Modifier None Typical Low $1,000.00 Median $1,000.00 Typical High $1,659.59 | Professional | None | $1,000.00 | $1,000.00 | $1,659.59 |
Excellus BCBS Setting Professional Modifier None Typical Low $478.63 Median $794.33 Typical High $1,096.48 | Professional | None | $478.63 | $794.33 | $1,096.48 |
MVP Health Care Setting Facility Modifier None Typical Low $4,786.30 Median $4,786.30 Typical High $5,754.40 | Facility | None | $4,786.30 | $4,786.30 | $5,754.40 |
MVP Health Care Setting Professional Modifier None Typical Low $851.14 Median $912.01 Typical High $2,089.30 | Professional | None | $851.14 | $912.01 | $2,089.30 |
United Setting Facility Modifier None Typical Low $1,230.27 Median $3,162.28 Typical High $9,549.93 | Facility | None | $1,230.27 | $3,162.28 | $9,549.93 |
United Setting Professional Modifier None Typical Low $588.84 Median $851.14 Typical High $1,862.09 | Professional | None | $588.84 | $851.14 | $1,862.09 |
Univera Setting Facility Modifier None Typical Low $562.34 Median $630.96 Typical High $3,311.31 | Facility | None | $562.34 | $630.96 | $3,311.31 |
Univera Setting Professional Modifier None Typical Low $562.34 Median $707.95 Typical High $1,096.48 | Professional | None | $562.34 | $707.95 | $1,096.48 |
15 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 $389.05 Median $389.05 Typical High $457.09 | Professional | 52 · Reduced service | $389.05 | $389.05 | $457.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $154.88 Median $154.88 Typical High $181.97 | Professional | 53 · Discontinued | $154.88 | $154.88 | $181.97 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $575.44 Median $575.44 Typical High $676.08 | Professional | 54 · Surgery only | $575.44 | $575.44 | $676.08 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $117.49 Median $117.49 Typical High $134.90 | Professional | 55 · Aftercare only | $117.49 | $117.49 | $134.90 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $77.62 Median $77.62 Typical High $91.20 | Professional | 56 · Pre-op care only | $77.62 | $77.62 | $91.20 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $537.03 Median $537.03 Typical High $630.96 | Professional | 78 · Unplanned return to OR | $537.03 | $537.03 | $630.96 |
Excellus BCBS Setting Professional Modifier 54 · Surgery only Typical Low $380.19 Median $630.96 Typical High $870.96 | Professional | 54 · Surgery only | $380.19 | $630.96 | $870.96 |
Excellus BCBS Setting Professional Modifier 55 · Aftercare only Typical Low $100.00 Median $165.96 Typical High $234.42 | Professional | 55 · Aftercare only | $100.00 | $165.96 | $234.42 |
Excellus BCBS Setting Professional Modifier 56 · Pre-op care only Typical Low $47.86 Median $79.43 Typical High $109.65 | Professional | 56 · Pre-op care only | $47.86 | $79.43 | $109.65 |
Excellus BCBS Setting Professional Modifier 78 · Unplanned return to OR Typical Low $331.13 Median $549.54 Typical High $758.58 | Professional | 78 · Unplanned return to OR | $331.13 | $549.54 | $758.58 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $426.58 Median $436.52 Typical High $630.96 | Professional | 53 · Discontinued | $426.58 | $436.52 | $630.96 |
Univera Setting Professional Modifier 54 · Surgery only Typical Low $380.19 Median $630.96 Typical High $870.96 | Professional | 54 · Surgery only | $380.19 | $630.96 | $870.96 |
Univera Setting Professional Modifier 55 · Aftercare only Typical Low $100.00 Median $165.96 Typical High $457.09 | Professional | 55 · Aftercare only | $100.00 | $165.96 | $457.09 |
Univera Setting Professional Modifier 56 · Pre-op care only Typical Low $47.86 Median $79.43 Typical High $218.78 | Professional | 56 · Pre-op care only | $47.86 | $79.43 | $218.78 |
Univera Setting Professional Modifier 78 · Unplanned return to OR Typical Low $331.13 Median $549.54 Typical High $758.58 | Professional | 78 · Unplanned return to OR | $331.13 | $549.54 | $758.58 |
Where New York sits
The same service costs 7.2 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· 45th of 51
$794
AK $3,467TX $479
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.