How much rates vary
Facilitymedian $2,188 · 10th to 90th $117 to $4,467Professionalmedian $81 · 10th to 90th $62 to $141
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 $63.10 Median $89.13 Typical High $1,096.48 | Facility | None | $63.10 | $89.13 | $1,096.48 |
Aetna Setting Professional Modifier None Typical Low $64.57 Median $89.13 Typical High $125.89 | Professional | None | $64.57 | $89.13 | $125.89 |
Ambetter Setting Professional Modifier None Typical Low $83.18 Median $83.18 Typical High $125.89 | Professional | None | $83.18 | $83.18 | $125.89 |
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 $69.18 Median $81.28 Typical High $114.82 | Professional | None | $69.18 | $81.28 | $114.82 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $104.71 Median $123.03 Typical High $173.78 | Professional | 50 · Both sides | $104.71 | $123.03 | $173.78 |
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 $87.10 Median $87.10 Typical High $120.23 | Professional | None | $87.10 | $87.10 | $120.23 |
Cigna Setting Facility Modifier None Typical Low $91.20 Median $117.49 Typical High $263.03 | Facility | None | $91.20 | $117.49 | $263.03 |
Cigna Setting Professional Modifier None Typical Low $58.88 Median $83.18 Typical High $190.55 | Professional | None | $58.88 | $83.18 | $190.55 |
Emblem Health Setting Facility Modifier None Typical Low $34.67 Median $69.18 Typical High $229.09 | Facility | None | $34.67 | $69.18 | $229.09 |
Emblem Health Setting Professional Modifier None Typical Low $77.62 Median $117.49 Typical High $177.83 | Professional | None | $77.62 | $117.49 | $177.83 |
Excellus BCBS Setting Professional Modifier None Typical Low $51.29 Median $89.13 Typical High $117.49 | Professional | None | $51.29 | $89.13 | $117.49 |
Highmark BCBS Setting Facility Modifier None Typical Low $295.12 Median $380.19 Typical High $1,047.13 | Facility | None | $295.12 | $380.19 | $1,047.13 |
Highmark BCBS Setting Professional Modifier None Typical Low $87.10 Median $120.23 Typical High $234.42 | Professional | None | $87.10 | $120.23 | $234.42 |
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 $239.88 | Professional | None | $75.86 | $75.86 | $239.88 |
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 $51.29 Median $77.62 Typical High $158.49 | Professional | None | $51.29 | $77.62 | $158.49 |
Univera Setting Facility Modifier None Typical Low $42.66 Median $77.62 Typical High $245.47 | Facility | None | $42.66 | $77.62 | $245.47 |
Univera Setting Professional Modifier None Typical Low $60.26 Median $79.43 Typical High $117.49 | Professional | None | $60.26 | $79.43 | $117.49 |
5 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 $43.65 Typical High $44.67 | Professional | 52 · Reduced service | $31.62 | $43.65 | $44.67 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.88 Median $17.38 Typical High $17.78 | Professional | 53 · Discontinued | $12.88 | $17.38 | $17.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $9.55 Median $13.18 Typical High $13.49 | Professional | 55 · Aftercare only | $9.55 | $13.18 | $13.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.46 Median $8.71 Typical High $8.91 | Professional | 56 · Pre-op care only | $6.46 | $8.71 | $8.91 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $43.65 Median $44.67 Typical High $64.57 | Professional | 53 · Discontinued | $43.65 | $44.67 | $64.57 |
Where New York sits
The same service costs 3.7 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.
New York· 44th of 51
$81.28
AK $257KY $69.18
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.