How much rates vary
Facilitymedian $3,890 · 10th to 90th $1,175 to $9,550Professionalmedian $575 · 10th to 90th $457 to $955
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 $5,623.41 Typical High $9,772.37 | Facility | None | $1,819.70 | $5,623.41 | $9,772.37 |
Aetna Setting Professional Modifier None Typical Low $588.84 Median $588.84 Typical High $602.56 | Professional | None | $588.84 | $588.84 | $602.56 |
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 $478.63 Median $562.34 Typical High $794.33 | Professional | None | $478.63 | $562.34 | $794.33 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $724.44 Median $851.14 Typical High $1,202.26 | Professional | 50 · Both sides | $724.44 | $851.14 | $1,202.26 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $302.00 Median $354.81 Typical High $501.19 | Professional | 62 · Two surgeons | $302.00 | $354.81 | $501.19 |
CDPHP Setting Facility Modifier None Typical Low $1,905.46 Median $2,951.21 Typical High $8,912.51 | Facility | None | $1,905.46 | $2,951.21 | $8,912.51 |
CDPHP Setting Professional Modifier None Typical Low $831.76 Median $831.76 Typical High $831.76 | Professional | None | $831.76 | $831.76 | $831.76 |
Cigna Setting Facility Modifier None Typical Low $1,318.26 Median $2,754.23 Typical High $5,623.41 | Facility | None | $1,318.26 | $2,754.23 | $5,623.41 |
Cigna Setting Professional Modifier None Typical Low $575.44 Median $575.44 Typical High $1,258.93 | Professional | None | $575.44 | $575.44 | $1,258.93 |
Emblem Health Setting Facility Modifier None Typical Low $602.56 Median $912.01 Typical High $2,290.87 | Facility | None | $602.56 | $912.01 | $2,290.87 |
Emblem Health Setting Professional Modifier None Typical Low $537.03 Median $660.69 Typical High $1,000.00 | Professional | None | $537.03 | $660.69 | $1,000.00 |
Excellus BCBS Setting Professional Modifier None Typical Low $331.13 Median $524.81 Typical High $776.25 | Professional | None | $331.13 | $524.81 | $776.25 |
MVP Health Care Setting Facility Modifier None Typical Low $562.34 Median $3,235.94 Typical High $4,365.16 | Facility | None | $562.34 | $3,235.94 | $4,365.16 |
MVP Health Care Setting Professional Modifier None Typical Low $602.56 Median $660.69 Typical High $1,479.11 | Professional | None | $602.56 | $660.69 | $1,479.11 |
United Setting Facility Modifier None Typical Low $1,122.02 Median $2,754.23 Typical High $7,762.47 | Facility | None | $1,122.02 | $2,754.23 | $7,762.47 |
United Setting Professional Modifier None Typical Low $398.11 Median $602.56 Typical High $1,412.54 | Professional | None | $398.11 | $602.56 | $1,412.54 |
Univera Setting Facility Modifier None Typical Low $389.05 Median $537.03 Typical High $2,137.96 | Facility | None | $389.05 | $537.03 | $2,137.96 |
Univera Setting Professional Modifier None Typical Low $389.05 Median $524.81 Typical High $776.25 | Professional | None | $389.05 | $524.81 | $776.25 |
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 $295.12 Median $295.12 Typical High $302.00 | Professional | 52 · Reduced service | $295.12 | $295.12 | $302.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $120.23 Median $120.23 Typical High $120.23 | Professional | 53 · Discontinued | $120.23 | $120.23 | $120.23 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $446.68 Median $446.68 Typical High $457.09 | Professional | 54 · Surgery only | $446.68 | $446.68 | $457.09 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $89.13 Median $89.13 Typical High $91.20 | Professional | 55 · Aftercare only | $89.13 | $89.13 | $91.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $58.88 Median $58.88 Typical High $60.26 | Professional | 56 · Pre-op care only | $58.88 | $58.88 | $60.26 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $416.87 Median $416.87 Typical High $426.58 | Professional | 78 · Unplanned return to OR | $416.87 | $416.87 | $426.58 |
Excellus BCBS Setting Professional Modifier 54 · Surgery only Typical Low $263.03 Median $416.87 Typical High $602.56 | Professional | 54 · Surgery only | $263.03 | $416.87 | $602.56 |
Excellus BCBS Setting Professional Modifier 55 · Aftercare only Typical Low $70.79 Median $109.65 Typical High $162.18 | Professional | 55 · Aftercare only | $70.79 | $109.65 | $162.18 |
Excellus BCBS Setting Professional Modifier 56 · Pre-op care only Typical Low $33.11 Median $52.48 Typical High $77.62 | Professional | 56 · Pre-op care only | $33.11 | $52.48 | $77.62 |
Excellus BCBS Setting Professional Modifier 78 · Unplanned return to OR Typical Low $229.09 Median $363.08 Typical High $537.03 | Professional | 78 · Unplanned return to OR | $229.09 | $363.08 | $537.03 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $302.00 Median $309.03 Typical High $457.09 | Professional | 53 · Discontinued | $302.00 | $309.03 | $457.09 |
Univera Setting Professional Modifier 54 · Surgery only Typical Low $263.03 Median $416.87 Typical High $602.56 | Professional | 54 · Surgery only | $263.03 | $416.87 | $602.56 |
Univera Setting Professional Modifier 55 · Aftercare only Typical Low $70.79 Median $109.65 Typical High $316.23 | Professional | 55 · Aftercare only | $70.79 | $109.65 | $316.23 |
Univera Setting Professional Modifier 56 · Pre-op care only Typical Low $33.11 Median $52.48 Typical High $151.36 | Professional | 56 · Pre-op care only | $33.11 | $52.48 | $151.36 |
Univera Setting Professional Modifier 78 · Unplanned return to OR Typical Low $229.09 Median $363.08 Typical High $537.03 | Professional | 78 · Unplanned return to OR | $229.09 | $363.08 | $537.03 |
Where New York sits
The same service costs 8.1 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· 46th of 51
$575
AK $2,399TX $295
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.