How much rates vary
Facilitymedian $5,248 · 10th to 90th $1,230 to $12,589Professionalmedian $468 · 10th to 90th $380 to $1,000
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 $4,677.35 Typical High $9,120.11 | Facility | None | $1,819.70 | $4,677.35 | $9,120.11 |
Aetna Setting Professional Modifier None Typical Low $524.81 Median $524.81 Typical High $1,621.81 | Professional | None | $524.81 | $524.81 | $1,621.81 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,778.28 Median $6,760.83 Typical High $12,882.50 | Facility | None | $1,778.28 | $6,760.83 | $12,882.50 |
Anthem BCBS Setting Professional Modifier None Typical Low $389.05 Median $457.09 Typical High $912.01 | Professional | None | $389.05 | $457.09 | $912.01 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $61.66 Median $70.79 Typical High $147.91 | Professional | 80 · Assistant surgeon | $61.66 | $70.79 | $147.91 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $54.95 Median $64.57 Typical High $125.89 | Professional | AS · PA/NP assist | $54.95 | $64.57 | $125.89 |
CDPHP Setting Facility Modifier None Typical Low $3,630.78 Median $3,630.78 Typical High $10,964.78 | Facility | None | $3,630.78 | $3,630.78 | $10,964.78 |
CDPHP Setting Professional Modifier None Typical Low $660.69 Median $660.69 Typical High $660.69 | Professional | None | $660.69 | $660.69 | $660.69 |
Cigna Setting Facility Modifier None Typical Low $1,445.44 Median $8,317.64 Typical High $16,595.87 | Facility | None | $1,445.44 | $8,317.64 | $16,595.87 |
Cigna Setting Professional Modifier None Typical Low $489.78 Median $645.65 Typical High $1,819.70 | Professional | None | $489.78 | $645.65 | $1,819.70 |
Emblem Health Setting Facility Modifier None Typical Low $537.03 Median $691.83 Typical High $1,862.09 | Facility | None | $537.03 | $691.83 | $1,862.09 |
Emblem Health Setting Professional Modifier None Typical Low $501.19 Median $575.44 Typical High $933.25 | Professional | None | $501.19 | $575.44 | $933.25 |
Excellus BCBS Setting Professional Modifier None Typical Low $316.23 Median $416.87 Typical High $575.44 | Professional | None | $316.23 | $416.87 | $575.44 |
MVP Health Care Setting Facility Modifier None Typical Low $524.81 Median $1,819.70 Typical High $8,511.38 | Facility | None | $524.81 | $1,819.70 | $8,511.38 |
MVP Health Care Setting Professional Modifier None Typical Low $660.69 Median $741.31 Typical High $1,230.27 | Professional | None | $660.69 | $741.31 | $1,230.27 |
United Setting Facility Modifier None Typical Low $1,318.26 Median $3,548.13 Typical High $12,589.25 | Facility | None | $1,318.26 | $3,548.13 | $12,589.25 |
United Setting Professional Modifier None Typical Low $363.08 Median $524.81 Typical High $1,412.54 | Professional | None | $363.08 | $524.81 | $1,412.54 |
Univera Setting Facility Modifier None Typical Low $338.84 Median $436.52 Typical High $1,819.70 | Facility | None | $338.84 | $436.52 | $1,819.70 |
Univera Setting Professional Modifier None Typical Low $316.23 Median $416.87 Typical High $562.34 | Professional | None | $316.23 | $416.87 | $562.34 |
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 $263.03 Median $263.03 Typical High $281.84 | Professional | 52 · Reduced service | $263.03 | $263.03 | $281.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $104.71 Median $104.71 Typical High $112.20 | Professional | 53 · Discontinued | $104.71 | $104.71 | $112.20 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $398.11 Median $398.11 Typical High $416.87 | Professional | 54 · Surgery only | $398.11 | $398.11 | $416.87 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $79.43 Median $79.43 Typical High $83.18 | Professional | 55 · Aftercare only | $79.43 | $79.43 | $83.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $52.48 Median $52.48 Typical High $56.23 | Professional | 56 · Pre-op care only | $52.48 | $52.48 | $56.23 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $239.88 Median $331.13 Typical High $467.74 | Professional | 53 · Discontinued | $239.88 | $331.13 | $467.74 |
Where New York sits
The same service costs 3.9 times more in Alaska than in New York. 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· 51st of 51
$490
AK $1,905NY $490
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.