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 $5,248.07 Typical High $9,120.11 | Facility | None | $1,819.70 | $5,248.07 | $9,120.11 |
Aetna Setting Professional Modifier None Typical Low $707.95 Median $776.25 Typical High $776.25 | Professional | None | $707.95 | $776.25 | $776.25 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,659.59 Median $6,309.57 Typical High $12,302.69 | Facility | None | $1,659.59 | $6,309.57 | $12,302.69 |
Anthem BCBS Setting Professional Modifier None Typical Low $489.78 Median $575.44 Typical High $933.25 | Professional | None | $489.78 | $575.44 | $933.25 |
CDPHP Setting Facility Modifier None Typical Low $3,019.95 Median $4,365.16 Typical High $12,882.50 | Facility | None | $3,019.95 | $4,365.16 | $12,882.50 |
CDPHP Setting Professional Modifier None Typical Low $954.99 Median $954.99 Typical High $954.99 | Professional | None | $954.99 | $954.99 | $954.99 |
Cigna Setting Facility Modifier None Typical Low $1,621.81 Median $6,165.95 Typical High $12,589.25 | Facility | None | $1,621.81 | $6,165.95 | $12,589.25 |
Cigna Setting Professional Modifier None Typical Low $512.86 Median $524.81 Typical High $1,288.25 | Professional | None | $512.86 | $524.81 | $1,288.25 |
Emblem Health Setting Facility Modifier None Typical Low $426.58 Median $724.44 Typical High $2,398.83 | Facility | None | $426.58 | $724.44 | $2,398.83 |
Emblem Health Setting Professional Modifier None Typical Low $616.60 Median $741.31 Typical High $1,258.93 | Professional | None | $616.60 | $741.31 | $1,258.93 |
Excellus BCBS Setting Professional Modifier None Typical Low $446.68 Median $588.84 Typical High $891.25 | Professional | None | $446.68 | $588.84 | $891.25 |
MVP Health Care Setting Facility Modifier None Typical Low $645.65 Median $3,235.94 Typical High $4,365.16 | Facility | None | $645.65 | $3,235.94 | $4,365.16 |
MVP Health Care Setting Professional Modifier None Typical Low $562.34 Median $562.34 Typical High $912.01 | Professional | None | $562.34 | $562.34 | $912.01 |
United Setting Facility Modifier None Typical Low $1,318.26 Median $3,548.13 Typical High $12,022.64 | Facility | None | $1,318.26 | $3,548.13 | $12,022.64 |
United Setting Professional Modifier None Typical Low $457.09 Median $602.56 Typical High $954.99 | Professional | None | $457.09 | $602.56 | $954.99 |
Univera Setting Facility Modifier None Typical Low $426.58 Median $616.60 Typical High $1,737.80 | Facility | None | $426.58 | $616.60 | $1,737.80 |
Univera Setting Professional Modifier None Typical Low $446.68 Median $588.84 Typical High $891.25 | Professional | None | $446.68 | $588.84 | $891.25 |
2 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 $524.81 Median $588.84 Typical High $588.84 | Professional | 54 · Surgery only | $524.81 | $588.84 | $588.84 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $489.78 Median $549.54 Typical High $549.54 | Professional | 78 · Unplanned return to OR | $489.78 | $549.54 | $549.54 |
Where New York sits
The same service costs 24.0 times more in Alaska than in Texas. 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· 47th of 51
$575
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.