How much rates vary
Facilitymedian $4,074 · 10th to 90th $1,202 to $10,233Professionalmedian $1,072 · 10th to 90th $407 to $2,399
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 $5,754.40 Typical High $11,748.98 | Facility | None | $1,819.70 | $5,754.40 | $11,748.98 |
Aetna Setting Professional Modifier None Typical Low $407.38 Median $1,698.24 Typical High $1,995.26 | Professional | None | $407.38 | $1,698.24 | $1,995.26 |
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 $891.25 Median $1,071.52 Typical High $2,511.89 | Professional | None | $891.25 | $1,071.52 | $2,511.89 |
CDPHP Setting Facility Modifier None Typical Low $3,630.78 Median $3,630.78 Typical High $10,964.78 | Facility | None | $3,630.78 | $3,630.78 | $10,964.78 |
CDPHP Setting Professional Modifier None Typical Low $478.63 Median $478.63 Typical High $1,949.84 | Professional | None | $478.63 | $478.63 | $1,949.84 |
Cigna Setting Facility Modifier None Typical Low $1,445.44 Median $3,715.35 Typical High $7,413.10 | Facility | None | $1,445.44 | $3,715.35 | $7,413.10 |
Cigna Setting Professional Modifier None Typical Low $354.81 Median $1,230.27 Typical High $2,754.23 | Professional | None | $354.81 | $1,230.27 | $2,754.23 |
Emblem Health Setting Facility Modifier None Typical Low $380.19 Median $537.03 Typical High $1,288.25 | Facility | None | $380.19 | $537.03 | $1,288.25 |
Emblem Health Setting Professional Modifier None Typical Low $1,318.26 Median $1,513.56 Typical High $2,630.27 | Professional | None | $1,318.26 | $1,513.56 | $2,630.27 |
Excellus BCBS Setting Professional Modifier None Typical Low $812.83 Median $1,122.02 Typical High $1,737.80 | Professional | None | $812.83 | $1,122.02 | $1,737.80 |
MVP Health Care Setting Facility Modifier None Typical Low $1,479.11 Median $3,235.94 Typical High $4,365.16 | Facility | None | $1,479.11 | $3,235.94 | $4,365.16 |
MVP Health Care Setting Professional Modifier None Typical Low $2,290.87 Median $2,290.87 Typical High $3,311.31 | Professional | None | $2,290.87 | $2,290.87 | $3,311.31 |
United Setting Facility Modifier None Typical Low $1,230.27 Median $3,162.28 Typical High $9,332.54 | Facility | None | $1,230.27 | $3,162.28 | $9,332.54 |
United Setting Professional Modifier None Typical Low $309.03 Median $1,023.29 Typical High $2,570.40 | Professional | None | $309.03 | $1,023.29 | $2,570.40 |
Univera Setting Facility Modifier None Typical Low $239.88 Median $776.25 Typical High $1,584.89 | Facility | None | $239.88 | $776.25 | $1,584.89 |
Univera Setting Professional Modifier None Typical Low $812.83 Median $1,122.02 Typical High $1,698.24 | Professional | None | $812.83 | $1,122.02 | $1,698.24 |
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 $204.17 Median $724.44 Typical High $891.25 | Professional | 52 · Reduced service | $204.17 | $724.44 | $891.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $81.28 Median $295.12 Typical High $354.81 | Professional | 53 · Discontinued | $81.28 | $295.12 | $354.81 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $302.00 Median $1,202.26 Typical High $1,348.96 | Professional | 54 · Surgery only | $302.00 | $1,202.26 | $1,348.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $60.26 Median $218.78 Typical High $269.15 | Professional | 55 · Aftercare only | $60.26 | $218.78 | $269.15 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $40.74 Median $147.91 Typical High $177.83 | Professional | 56 · Pre-op care only | $40.74 | $147.91 | $177.83 |
Where New York sits
The same service costs 5.1 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· 45th of 51
$1,122
AK $3,020NE $589
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.