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 $10,964.78 | Facility | None | $1,819.70 | $6,309.57 | $10,964.78 |
Aetna Setting Professional Modifier None Typical Low $1,819.70 Median $7,585.78 Typical High $13,803.84 | Professional | None | $1,819.70 | $7,585.78 | $13,803.84 |
Anthem BCBS Setting Professional Modifier None Typical Low $13,182.57 Median $14,454.40 Typical High $16,218.10 | Professional | None | $13,182.57 | $14,454.40 | $16,218.10 |
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 $12,589.25 Median $12,589.25 Typical High $12,589.25 | Professional | None | $12,589.25 | $12,589.25 | $12,589.25 |
Emblem Health Setting Facility Modifier None Typical Low $3,548.13 Median $3,548.13 Typical High $3,548.13 | Facility | None | $3,548.13 | $3,548.13 | $3,548.13 |
Highmark BCBS Setting Professional Modifier None Typical Low $1,698.24 Median $1,698.24 Typical High $1,698.24 | Professional | None | $1,698.24 | $1,698.24 | $1,698.24 |
MVP Health Care Setting Professional Modifier None Typical Low $398.11 Median $398.11 Typical High $398.11 | Professional | None | $398.11 | $398.11 | $398.11 |
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 $64.57 Median $64.57 Typical High $64.57 | Professional | None | $64.57 | $64.57 | $64.57 |
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 |
|---|---|---|---|---|---|
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $8,317.64 Median $9,120.11 Typical High $10,232.93 | Professional | 62 · Two surgeons | $8,317.64 | $9,120.11 | $10,232.93 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $2,089.30 Median $2,290.87 Typical High $2,630.27 | Professional | 80 · Assistant surgeon | $2,089.30 | $2,290.87 | $2,630.27 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $1,819.70 Median $1,995.26 Typical High $2,290.87 | Professional | AS · PA/NP assist | $1,819.70 | $1,995.26 | $2,290.87 |
Where New York sits
The same service costs 338.8 times more in Alabama than in Hawaii. 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· 10th of 51
$2,951
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.