How much rates vary
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 $1,737.80 Median $4,570.88 Typical High $8,317.64 | Facility | None | $1,737.80 | $4,570.88 | $8,317.64 |
Aetna Setting Professional Modifier None Typical Low $1,548.82 Median $6,456.54 Typical High $13,489.63 | Professional | None | $1,548.82 | $6,456.54 | $13,489.63 |
Anthem BCBS Setting Professional Modifier None Typical Low $5,754.40 Median $5,754.40 Typical High $6,165.95 | Professional | None | $5,754.40 | $5,754.40 | $6,165.95 |
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 |
Cigna Setting Facility Modifier None Typical Low $851.14 Median $1,778.28 Typical High $2,754.23 | Facility | None | $851.14 | $1,778.28 | $2,754.23 |
Cigna Setting Professional Modifier None Typical Low $6,309.57 Median $7,244.36 Typical High $7,244.36 | Professional | None | $6,309.57 | $7,244.36 | $7,244.36 |
Emblem Health Setting Facility Modifier None Typical Low $3,548.13 Median $3,548.13 Typical High $3,548.13 | Facility | None | $3,548.13 | $3,548.13 | $3,548.13 |
MVP Health Care Setting Facility Modifier None Typical Low $5,888.44 Median $5,888.44 Typical High $8,511.38 | Facility | None | $5,888.44 | $5,888.44 | $8,511.38 |
MVP Health Care Setting Professional Modifier None Typical Low $398.11 Median $398.11 Typical High $398.11 | Professional | None | $398.11 | $398.11 | $398.11 |
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 $64.57 Median $64.57 Typical High $64.57 | Professional | None | $64.57 | $64.57 | $64.57 |
Univera Setting Facility Modifier None Typical Low $0.09 Median $0.09 Typical High $0.10 | Facility | None | $0.09 | $0.09 | $0.10 |
Univera Setting Professional Modifier None Typical Low $0.09 Median $0.09 Typical High $0.10 | Professional | None | $0.09 | $0.09 | $0.10 |
3 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 |
|---|---|---|---|---|---|
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $3,630.78 Median $3,890.45 Typical High $3,890.45 | Professional | 62 · Two surgeons | $3,630.78 | $3,890.45 | $3,890.45 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $912.01 Median $1,000.00 Typical High $1,000.00 | Professional | 80 · Assistant surgeon | $912.01 | $1,000.00 | $1,000.00 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $794.33 Median $870.96 Typical High $870.96 | Professional | AS · PA/NP assist | $794.33 | $870.96 | $870.96 |
Where New York sits
The same service costs 158.5 times more in Alaska than in Hawaii. 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· 5th of 51
$2,630
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.