How much rates vary
Facilitymedian $5,623 · 10th to 90th $1,072 to $15,849Professionalmedian $1,000 · 10th to 90th $759 to $1,905
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 $6,309.57 Typical High $12,302.69 | Facility | None | $1,819.70 | $6,309.57 | $12,302.69 |
Aetna Setting Professional Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $2,187.76 | Professional | None | $1,122.02 | $1,122.02 | $2,187.76 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,862.09 Median $8,709.64 Typical High $20,892.96 | Facility | None | $1,862.09 | $8,709.64 | $20,892.96 |
Anthem BCBS Setting Professional Modifier None Typical Low $794.33 Median $954.99 Typical High $1,778.28 | Professional | None | $794.33 | $954.99 | $1,778.28 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $125.89 Median $151.36 Typical High $281.84 | Professional | 80 · Assistant surgeon | $125.89 | $151.36 | $281.84 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $112.20 Median $134.90 Typical High $245.47 | Professional | AS · PA/NP assist | $112.20 | $134.90 | $245.47 |
CDPHP Setting Professional Modifier None Typical Low $1,348.96 Median $1,348.96 Typical High $1,348.96 | Professional | None | $1,348.96 | $1,348.96 | $1,348.96 |
Cigna Setting Facility Modifier None Typical Low $851.14 Median $1,737.80 Typical High $2,754.23 | Facility | None | $851.14 | $1,737.80 | $2,754.23 |
Cigna Setting Professional Modifier None Typical Low $1,000.00 Median $1,000.00 Typical High $3,388.44 | Professional | None | $1,000.00 | $1,000.00 | $3,388.44 |
Emblem Health Setting Facility Modifier None Typical Low $1,000.00 Median $1,318.26 Typical High $3,548.13 | Facility | None | $1,000.00 | $1,318.26 | $3,548.13 |
Emblem Health Setting Professional Modifier None Typical Low $977.24 Median $1,148.15 Typical High $1,995.26 | Professional | None | $977.24 | $1,148.15 | $1,995.26 |
Excellus BCBS Setting Professional Modifier None Typical Low $630.96 Median $851.14 Typical High $1,380.38 | Professional | None | $630.96 | $851.14 | $1,380.38 |
MVP Health Care Setting Facility Modifier None Typical Low $1,122.02 Median $27,542.29 Typical High $43,651.58 | Facility | None | $1,122.02 | $27,542.29 | $43,651.58 |
MVP Health Care Setting Professional Modifier None Typical Low $1,548.82 Median $1,548.82 Typical High $2,511.89 | Professional | None | $1,548.82 | $1,548.82 | $2,511.89 |
United Setting Facility Modifier None Typical Low $575.44 Median $1,778.28 Typical High $6,309.57 | Facility | None | $575.44 | $1,778.28 | $6,309.57 |
United Setting Professional Modifier None Typical Low $758.58 Median $1,122.02 Typical High $2,884.03 | Professional | None | $758.58 | $1,122.02 | $2,884.03 |
Univera Setting Facility Modifier None Typical Low $676.08 Median $912.01 Typical High $1,905.46 | Facility | None | $676.08 | $912.01 | $1,905.46 |
Univera Setting Professional Modifier None Typical Low $630.96 Median $851.14 Typical High $1,380.38 | Professional | None | $630.96 | $851.14 | $1,380.38 |
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 $549.54 Median $549.54 Typical High $645.65 | Professional | 52 · Reduced service | $549.54 | $549.54 | $645.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $223.87 Median $223.87 Typical High $257.04 | Professional | 53 · Discontinued | $223.87 | $223.87 | $257.04 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $831.76 Median $831.76 Typical High $977.24 | Professional | 54 · Surgery only | $831.76 | $831.76 | $977.24 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $165.96 Median $165.96 Typical High $194.98 | Professional | 55 · Aftercare only | $165.96 | $165.96 | $194.98 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $112.20 Median $112.20 Typical High $128.82 | Professional | 56 · Pre-op care only | $112.20 | $112.20 | $128.82 |
Where New York sits
The same service costs 3.7 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
$1,023
AK $3,802NY $1,023
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.