How much rates vary
Facilitymedian $3,236 · 10th to 90th $776 to $7,413Professionalmedian $275 · 10th to 90th $170 to $603
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 $1,513.56 Median $4,073.80 Typical High $8,128.31 | Facility | None | $1,513.56 | $4,073.80 | $8,128.31 |
Aetna Setting Professional Modifier None Typical Low $169.82 Median $316.23 Typical High $380.19 | Professional | None | $169.82 | $316.23 | $380.19 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,288.25 Median $3,890.45 Typical High $7,943.28 | Facility | None | $1,288.25 | $3,890.45 | $7,943.28 |
Anthem BCBS Setting Professional Modifier None Typical Low $234.42 Median $275.42 Typical High $562.34 | Professional | None | $234.42 | $275.42 | $562.34 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $354.81 Median $416.87 Typical High $831.76 | Professional | 50 · Both sides | $354.81 | $416.87 | $831.76 |
CDPHP Setting Facility Modifier None Typical Low $1,148.15 Median $1,348.96 Typical High $4,073.80 | Facility | None | $1,148.15 | $1,348.96 | $4,073.80 |
CDPHP Setting Professional Modifier None Typical Low $218.78 Median $218.78 Typical High $436.52 | Professional | None | $218.78 | $218.78 | $436.52 |
Cigna Setting Facility Modifier None Typical Low $912.01 Median $1,445.44 Typical High $2,884.03 | Facility | None | $912.01 | $1,445.44 | $2,884.03 |
Cigna Setting Professional Modifier None Typical Low $120.23 Median $239.88 Typical High $1,023.29 | Professional | None | $120.23 | $239.88 | $1,023.29 |
Emblem Health Setting Facility Modifier None Typical Low $162.18 Median $199.53 Typical High $575.44 | Facility | None | $162.18 | $199.53 | $575.44 |
Emblem Health Setting Professional Modifier None Typical Low $338.84 Median $389.05 Typical High $630.96 | Professional | None | $338.84 | $389.05 | $630.96 |
Excellus BCBS Setting Professional Modifier None Typical Low $208.93 Median $295.12 Typical High $389.05 | Professional | None | $208.93 | $295.12 | $389.05 |
MVP Health Care Setting Facility Modifier None Typical Low $173.78 Median $1,819.70 Typical High $8,511.38 | Facility | None | $173.78 | $1,819.70 | $8,511.38 |
MVP Health Care Setting Professional Modifier None Typical Low $269.15 Median $269.15 Typical High $691.83 | Professional | None | $269.15 | $269.15 | $691.83 |
United Setting Facility Modifier None Typical Low $851.14 Median $2,290.87 Typical High $6,309.57 | Facility | None | $851.14 | $2,290.87 | $6,309.57 |
United Setting Professional Modifier None Typical Low $125.89 Median $263.03 Typical High $691.83 | Professional | None | $125.89 | $263.03 | $691.83 |
Univera Setting Facility Modifier None Typical Low $117.49 Median $288.40 Typical High $776.25 | Facility | None | $117.49 | $288.40 | $776.25 |
Univera Setting Professional Modifier None Typical Low $208.93 Median $288.40 Typical High $380.19 | Professional | None | $208.93 | $288.40 | $380.19 |
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 $85.11 Median $151.36 Typical High $186.21 | Professional | 52 · Reduced service | $85.11 | $151.36 | $186.21 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.88 Median $60.26 Typical High $75.86 | Professional | 53 · Discontinued | $33.88 | $60.26 | $75.86 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $128.82 Median $223.87 Typical High $281.84 | Professional | 54 · Surgery only | $128.82 | $223.87 | $281.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $25.70 Median $44.67 Typical High $56.23 | Professional | 55 · Aftercare only | $25.70 | $44.67 | $56.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $16.98 Median $30.20 Typical High $38.02 | Professional | 56 · Pre-op care only | $16.98 | $30.20 | $38.02 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $151.36 Median $199.53 Typical High $316.23 | Professional | 53 · Discontinued | $151.36 | $199.53 | $316.23 |
Where New York sits
The same service costs 3.9 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· 49th of 51
$282
AK $933KY $240
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.