How much rates vary
Facilitymedian $2,570 · 10th to 90th $186 to $4,898Professionalmedian $89 · 10th to 90th $66 to $158
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 $645.65 Median $5,888.44 Typical High $10,964.78 | Facility | None | $645.65 | $5,888.44 | $10,964.78 |
Aetna Setting Professional Modifier None Typical Low $63.10 Median $85.11 Typical High $102.33 | Professional | None | $63.10 | $85.11 | $102.33 |
Anthem BCBS Setting Facility Modifier None Typical Low $933.25 Median $3,162.28 Typical High $4,897.79 | Facility | None | $933.25 | $3,162.28 | $4,897.79 |
Anthem BCBS Setting Professional Modifier None Typical Low $77.62 Median $91.20 Typical High $125.89 | Professional | None | $77.62 | $91.20 | $125.89 |
CDPHP Setting Facility Modifier None Typical Low $2,089.30 Median $2,089.30 Typical High $6,165.95 | Facility | None | $2,089.30 | $2,089.30 | $6,165.95 |
CDPHP Setting Professional Modifier None Typical Low $97.72 Median $97.72 Typical High $138.04 | Professional | None | $97.72 | $97.72 | $138.04 |
Cigna Setting Facility Modifier None Typical Low $100.00 Median $134.90 Typical High $309.03 | Facility | None | $100.00 | $134.90 | $309.03 |
Cigna Setting Professional Modifier None Typical Low $67.61 Median $95.50 Typical High $218.78 | Professional | None | $67.61 | $95.50 | $218.78 |
Emblem Health Setting Facility Modifier None Typical Low $64.57 Median $83.18 Typical High $263.03 | Facility | None | $64.57 | $83.18 | $263.03 |
Emblem Health Setting Professional Modifier None Typical Low $89.13 Median $134.90 Typical High $204.17 | Professional | None | $89.13 | $134.90 | $204.17 |
Excellus BCBS Setting Professional Modifier None Typical Low $58.88 Median $100.00 Typical High $134.90 | Professional | None | $58.88 | $100.00 | $134.90 |
MVP Health Care Setting Facility Modifier None Typical Low $63.10 Median $63.10 Typical High $63.10 | Facility | None | $63.10 | $63.10 | $63.10 |
MVP Health Care Setting Professional Modifier None Typical Low $75.86 Median $75.86 Typical High $245.47 | Professional | None | $75.86 | $75.86 | $245.47 |
United Setting Facility Modifier None Typical Low $363.08 Median $1,148.15 Typical High $4,365.16 | Facility | None | $363.08 | $1,148.15 | $4,365.16 |
United Setting Professional Modifier None Typical Low $56.23 Median $89.13 Typical High $177.83 | Professional | None | $56.23 | $89.13 | $177.83 |
Univera Setting Facility Modifier None Typical Low $46.77 Median $89.13 Typical High $501.19 | Facility | None | $46.77 | $89.13 | $501.19 |
Univera Setting Professional Modifier None Typical Low $69.18 Median $91.20 Typical High $134.90 | Professional | None | $69.18 | $91.20 | $134.90 |
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 $31.62 Median $42.66 Typical High $48.98 | Professional | 52 · Reduced service | $31.62 | $42.66 | $48.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.59 Median $16.98 Typical High $19.95 | Professional | 53 · Discontinued | $12.59 | $16.98 | $19.95 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $47.86 Median $64.57 Typical High $74.13 | Professional | 54 · Surgery only | $47.86 | $64.57 | $74.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $9.55 Median $12.88 Typical High $14.79 | Professional | 55 · Aftercare only | $9.55 | $12.88 | $14.79 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.31 Median $8.51 Typical High $9.77 | Professional | 56 · Pre-op care only | $6.31 | $8.51 | $9.77 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $50.12 Median $51.29 Typical High $74.13 | Professional | 53 · Discontinued | $50.12 | $51.29 | $74.13 |
Where New York sits
The same service costs 3.8 times more in Alaska than in Florida. 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
$91.20
AK $282FL $74.13
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.