How much rates vary
Facilitymedian $3,311 · 10th to 90th $363 to $6,166Professionalmedian $282 · 10th to 90th $52 to $427
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 $245.47 Median $3,890.45 Typical High $8,128.31 | Facility | None | $245.47 | $3,890.45 | $8,128.31 |
Aetna Setting Professional Modifier None Typical Low $52.48 Median $275.42 Typical High $380.19 | Professional | None | $52.48 | $275.42 | $380.19 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,819.70 Median $3,548.13 Typical High $4,897.79 | Facility | None | $1,819.70 | $3,548.13 | $4,897.79 |
Anthem BCBS Setting Professional Modifier None Typical Low $263.03 Median $309.03 Typical High $407.38 | Professional | None | $263.03 | $309.03 | $407.38 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $389.05 Median $457.09 Typical High $602.56 | Professional | 50 · Both sides | $389.05 | $457.09 | $602.56 |
CDPHP Setting Facility Modifier None Typical Low $1,348.96 Median $1,348.96 Typical High $4,073.80 | Facility | None | $1,348.96 | $1,348.96 | $4,073.80 |
CDPHP Setting Professional Modifier None Typical Low $67.61 Median $67.61 Typical High $407.38 | Professional | None | $67.61 | $67.61 | $407.38 |
Cigna Setting Facility Modifier None Typical Low $74.13 Median $74.13 Typical High $74.13 | Facility | None | $74.13 | $74.13 | $74.13 |
Cigna Setting Professional Modifier None Typical Low $44.67 Median $144.54 Typical High $489.78 | Professional | None | $44.67 | $144.54 | $489.78 |
Emblem Health Setting Facility Modifier None Typical Low $48.98 Median $87.10 Typical High $173.78 | Facility | None | $48.98 | $87.10 | $173.78 |
Emblem Health Setting Professional Modifier None Typical Low $263.03 Median $295.12 Typical High $426.58 | Professional | None | $263.03 | $295.12 | $426.58 |
Excellus BCBS Setting Professional Modifier None Typical Low $162.18 Median $245.47 Typical High $346.74 | Professional | None | $162.18 | $245.47 | $346.74 |
Highmark BCBS Setting Facility Modifier None Typical Low $218.78 Median $218.78 Typical High $218.78 | Facility | None | $218.78 | $218.78 | $218.78 |
Highmark BCBS Setting Professional Modifier None Typical Low $58.88 Median $58.88 Typical High $58.88 | Professional | None | $58.88 | $58.88 | $58.88 |
MVP Health Care Setting Facility Modifier None Typical Low $52.48 Median $52.48 Typical High $52.48 | Facility | None | $52.48 | $52.48 | $52.48 |
MVP Health Care Setting Professional Modifier None Typical Low $63.10 Median $63.10 Typical High $741.31 | Professional | None | $63.10 | $63.10 | $741.31 |
United Setting Facility Modifier None Typical Low $1,318.26 Median $2,951.21 Typical High $5,011.87 | Facility | None | $1,318.26 | $2,951.21 | $5,011.87 |
United Setting Professional Modifier None Typical Low $43.65 Median $181.97 Typical High $478.63 | Professional | None | $43.65 | $181.97 | $478.63 |
Univera Setting Facility Modifier None Typical Low $33.11 Median $60.26 Typical High $933.25 | Facility | None | $33.11 | $60.26 | $933.25 |
Univera Setting Professional Modifier None Typical Low $162.18 Median $245.47 Typical High $331.13 | Professional | None | $162.18 | $245.47 | $331.13 |
7 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 $26.30 Median $134.90 Typical High $181.97 | Professional | 52 · Reduced service | $26.30 | $134.90 | $181.97 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.72 Median $54.95 Typical High $72.44 | Professional | 53 · Discontinued | $10.72 | $54.95 | $72.44 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $39.81 Median $204.17 Typical High $269.15 | Professional | 54 · Surgery only | $39.81 | $204.17 | $269.15 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.94 Median $40.74 Typical High $53.70 | Professional | 55 · Aftercare only | $7.94 | $40.74 | $53.70 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.25 Median $27.54 Typical High $36.31 | Professional | 56 · Pre-op care only | $5.25 | $27.54 | $36.31 |
Emblem Health Setting Professional Modifier GL · Free upgrade Typical Low $302.00 Median $354.81 Typical High $363.08 | Professional | GL · Free upgrade | $302.00 | $354.81 | $363.08 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $151.36 Median $194.98 Typical High $251.19 | Professional | 53 · Discontinued | $151.36 | $194.98 | $251.19 |
Where New York sits
The same service costs 4.9 times more in Iowa than in Nebraska. 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· 17th of 51
$282
IA $417NE $85.11
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.