How much rates vary
Facilitymedian $3,467 · 10th to 90th $398 to $9,120Professionalmedian $302 · 10th to 90th $162 to $646
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 $398.11 Median $3,981.07 Typical High $8,128.31 | Facility | None | $398.11 | $3,981.07 | $8,128.31 |
Aetna Setting Professional Modifier None Typical Low $141.25 Median $302.00 Typical High $478.63 | Professional | None | $141.25 | $302.00 | $478.63 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,513.56 Median $4,466.84 Typical High $10,964.78 | Facility | None | $1,513.56 | $4,466.84 | $10,964.78 |
Anthem BCBS Setting Professional Modifier None Typical Low $263.03 Median $316.23 Typical High $562.34 | Professional | None | $263.03 | $316.23 | $562.34 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $398.11 Median $478.63 Typical High $831.76 | Professional | 50 · Both sides | $398.11 | $478.63 | $831.76 |
CDPHP Setting Facility Modifier None Typical Low $4,265.80 Median $5,495.41 Typical High $16,595.87 | Facility | None | $4,265.80 | $5,495.41 | $16,595.87 |
CDPHP Setting Professional Modifier None Typical Low $186.21 Median $186.21 Typical High $426.58 | Professional | None | $186.21 | $186.21 | $426.58 |
Cigna Setting Facility Modifier None Typical Low $691.83 Median $1,862.09 Typical High $2,818.38 | Facility | None | $691.83 | $1,862.09 | $2,818.38 |
Cigna Setting Professional Modifier None Typical Low $112.20 Median $234.42 Typical High $724.44 | Professional | None | $112.20 | $234.42 | $724.44 |
Emblem Health Setting Facility Modifier None Typical Low $141.25 Median $204.17 Typical High $489.78 | Facility | None | $141.25 | $204.17 | $489.78 |
Emblem Health Setting Professional Modifier None Typical Low $302.00 Median $346.74 Typical High $616.60 | Professional | None | $302.00 | $346.74 | $616.60 |
Excellus BCBS Setting Professional Modifier None Typical Low $181.97 Median $263.03 Typical High $389.05 | Professional | None | $181.97 | $263.03 | $389.05 |
Highmark BCBS Setting Facility Modifier None Typical Low $2,344.23 Median $2,344.23 Typical High $2,344.23 | Facility | None | $2,344.23 | $2,344.23 | $2,344.23 |
Highmark BCBS Setting Professional Modifier None Typical Low $363.08 Median $363.08 Typical High $489.78 | Professional | None | $363.08 | $363.08 | $489.78 |
MVP Health Care Setting Facility Modifier None Typical Low $181.97 Median $3,235.94 Typical High $4,365.16 | Facility | None | $181.97 | $3,235.94 | $4,365.16 |
MVP Health Care Setting Professional Modifier None Typical Low $645.65 Median $645.65 Typical High $776.25 | Professional | None | $645.65 | $645.65 | $776.25 |
United Setting Facility Modifier None Typical Low $363.08 Median $1,318.26 Typical High $4,365.16 | Facility | None | $363.08 | $1,318.26 | $4,365.16 |
United Setting Professional Modifier None Typical Low $120.23 Median $269.15 Typical High $630.96 | Professional | None | $120.23 | $269.15 | $630.96 |
Univera Setting Facility Modifier None Typical Low $93.33 Median $269.15 Typical High $549.54 | Facility | None | $93.33 | $269.15 | $549.54 |
Univera Setting Professional Modifier None Typical Low $181.97 Median $263.03 Typical High $389.05 | Professional | None | $181.97 | $263.03 | $389.05 |
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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $107.15 Median $229.09 Typical High $295.12 | Professional | 54 · Surgery only | $107.15 | $229.09 | $295.12 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $21.38 Median $45.71 Typical High $58.88 | Professional | 55 · Aftercare only | $21.38 | $45.71 | $58.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $14.13 Median $30.20 Typical High $39.81 | Professional | 56 · Pre-op care only | $14.13 | $30.20 | $39.81 |
Where New York sits
The same service costs 3.4 times more in Alaska 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· 36th of 51
$316
AK $741NE $219
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.