How much rates vary
Facilitymedian $2,455 · 10th to 90th $182 to $5,248Professionalmedian $105 · 10th to 90th $83 to $166
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 $1,659.59 Median $5,011.87 Typical High $9,120.11 | Facility | None | $1,659.59 | $5,011.87 | $9,120.11 |
Aetna Setting Professional Modifier None Typical Low $104.71 Median $104.71 Typical High $144.54 | Professional | None | $104.71 | $104.71 | $144.54 |
Anthem BCBS Setting Facility Modifier None Typical Low $933.25 Median $3,162.28 Typical High $4,897.79 | Facility | None | $933.25 | $3,162.28 | $4,897.79 |
Anthem BCBS Setting Professional Modifier None Typical Low $89.13 Median $104.71 Typical High $147.91 | Professional | None | $89.13 | $104.71 | $147.91 |
CDPHP Setting Facility Modifier None Typical Low $2,089.30 Median $2,089.30 Typical High $6,165.95 | Facility | None | $2,089.30 | $2,089.30 | $6,165.95 |
CDPHP Setting Professional Modifier None Typical Low $154.88 Median $154.88 Typical High $154.88 | Professional | None | $154.88 | $154.88 | $154.88 |
Cigna Setting Facility Modifier None Typical Low $331.13 Median $630.96 Typical High $1,778.28 | Facility | None | $331.13 | $630.96 | $1,778.28 |
Cigna Setting Professional Modifier None Typical Low $81.28 Median $83.18 Typical High $194.98 | Professional | None | $81.28 | $83.18 | $194.98 |
Emblem Health Setting Facility Modifier None Typical Low $93.33 Median $120.23 Typical High $363.08 | Facility | None | $93.33 | $120.23 | $363.08 |
Emblem Health Setting Professional Modifier None Typical Low $102.33 Median $112.20 Typical High $173.78 | Professional | None | $102.33 | $112.20 | $173.78 |
Excellus BCBS Setting Facility Modifier None Typical Low $151.36 Median $151.36 Typical High $151.36 | Facility | None | $151.36 | $151.36 | $151.36 |
Excellus BCBS Setting Professional Modifier None Typical Low $72.44 Median $100.00 Typical High $169.82 | Professional | None | $72.44 | $100.00 | $169.82 |
MVP Health Care Setting Facility Modifier None Typical Low $323.59 Median $323.59 Typical High $323.59 | Facility | None | $323.59 | $323.59 | $323.59 |
MVP Health Care Setting Professional Modifier None Typical Low $85.11 Median $85.11 Typical High $162.18 | Professional | None | $85.11 | $85.11 | $162.18 |
United Setting Facility Modifier None Typical Low $363.08 Median $1,258.93 Typical High $4,365.16 | Facility | None | $363.08 | $1,258.93 | $4,365.16 |
United Setting Professional Modifier None Typical Low $67.61 Median $114.82 Typical High $194.98 | Professional | None | $67.61 | $114.82 | $194.98 |
Univera Setting Facility Modifier None Typical Low $77.62 Median $151.36 Typical High $251.19 | Facility | None | $77.62 | $151.36 | $251.19 |
Univera Setting Professional Modifier None Typical Low $72.44 Median $117.49 Typical High $169.82 | Professional | None | $72.44 | $117.49 | $169.82 |
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 $52.48 Median $52.48 Typical High $70.79 | Professional | 52 · Reduced service | $52.48 | $52.48 | $70.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $20.89 Typical High $28.84 | Professional | 53 · Discontinued | $20.89 | $20.89 | $28.84 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $79.43 Median $79.43 Typical High $107.15 | Professional | 54 · Surgery only | $79.43 | $79.43 | $107.15 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $15.85 Median $15.85 Typical High $21.38 | Professional | 55 · Aftercare only | $15.85 | $15.85 | $21.38 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.47 Median $10.47 Typical High $14.45 | Professional | 56 · Pre-op care only | $10.47 | $10.47 | $14.45 |
Where New York sits
The same service costs 4.8 times more in Alaska than in Florida. 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· 49th of 51
$105
AK $427FL $89.13
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.