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 $1,819.70 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 $933.25 Median $933.25 Typical High $2,041.74 | Professional | None | $933.25 | $933.25 | $2,041.74 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,659.59 Median $6,309.57 Typical High $12,302.69 | Facility | None | $1,659.59 | $6,309.57 | $12,302.69 |
Anthem BCBS Setting Professional Modifier None Typical Low $676.08 Median $812.83 Typical High $1,513.56 | Professional | None | $676.08 | $812.83 | $1,513.56 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $107.15 Median $128.82 Typical High $239.88 | Professional | 80 · Assistant surgeon | $107.15 | $128.82 | $239.88 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $93.33 Median $112.20 Typical High $208.93 | Professional | AS · PA/NP assist | $93.33 | $112.20 | $208.93 |
CDPHP Setting Professional Modifier None Typical Low $1,148.15 Median $1,148.15 Typical High $1,148.15 | Professional | None | $1,148.15 | $1,148.15 | $1,148.15 |
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 $851.14 Median $851.14 Typical High $2,951.21 | Professional | None | $851.14 | $851.14 | $2,951.21 |
Emblem Health Setting Facility Modifier None Typical Low $912.01 Median $1,258.93 Typical High $3,162.28 | Facility | None | $912.01 | $1,258.93 | $3,162.28 |
Emblem Health Setting Professional Modifier None Typical Low $891.25 Median $954.99 Typical High $1,584.89 | Professional | None | $891.25 | $954.99 | $1,584.89 |
Excellus BCBS Setting Professional Modifier None Typical Low $537.03 Median $707.95 Typical High $1,148.15 | Professional | None | $537.03 | $707.95 | $1,148.15 |
MVP Health Care Setting Professional Modifier None Typical Low $1,819.70 Median $5,370.32 Typical High $5,370.32 | Professional | None | $1,819.70 | $5,370.32 | $5,370.32 |
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 $645.65 Median $977.24 Typical High $2,454.71 | Professional | None | $645.65 | $977.24 | $2,454.71 |
Univera Setting Facility Modifier None Typical Low $575.44 Median $588.84 Typical High $2,041.74 | Facility | None | $575.44 | $588.84 | $2,041.74 |
Univera Setting Professional Modifier None Typical Low $537.03 Median $707.95 Typical High $1,148.15 | Professional | None | $537.03 | $707.95 | $1,148.15 |
1 more rate 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 54 · Surgery only Typical Low $707.95 Median $707.95 Typical High $831.76 | Professional | 54 · Surgery only | $707.95 | $707.95 | $831.76 |
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
$871
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.