How much rates vary
Facilitymedian $3,890 · 10th to 90th $1,000 to $10,233Professionalmedian $1,202 · 10th to 90th $490 to $1,549
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 $12,302.69 | Facility | None | $1,819.70 | $6,309.57 | $12,302.69 |
Aetna Setting Professional Modifier None Typical Low $489.78 Median $489.78 Typical High $707.95 | Professional | None | $489.78 | $489.78 | $707.95 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,548.82 Median $4,466.84 Typical High $10,964.78 | Facility | None | $1,548.82 | $4,466.84 | $10,964.78 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,202.26 Median $1,380.38 Typical High $1,548.82 | Professional | None | $1,202.26 | $1,380.38 | $1,548.82 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $758.58 Median $870.96 Typical High $977.24 | Professional | 62 · Two surgeons | $758.58 | $870.96 | $977.24 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $190.55 Median $218.78 Typical High $251.19 | Professional | 80 · Assistant surgeon | $190.55 | $218.78 | $251.19 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $165.96 Median $190.55 Typical High $218.78 | Professional | AS · PA/NP assist | $165.96 | $190.55 | $218.78 |
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 $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 $549.54 Median $549.54 Typical High $1,318.26 | Professional | None | $549.54 | $549.54 | $1,318.26 |
Emblem Health Setting Facility Modifier None Typical Low $1,023.29 Median $1,318.26 Typical High $3,467.37 | Facility | None | $1,023.29 | $1,318.26 | $3,467.37 |
Emblem Health Setting Professional Modifier None Typical Low $501.19 Median $1,000.00 Typical High $1,778.28 | Professional | None | $501.19 | $1,000.00 | $1,778.28 |
Excellus BCBS Setting Professional Modifier None Typical Low $501.19 Median $776.25 Typical High $1,174.90 | Professional | None | $501.19 | $776.25 | $1,174.90 |
MVP Health Care Setting Facility Modifier None Typical Low $912.01 Median $33,884.42 Typical High $48,977.88 | Facility | None | $912.01 | $33,884.42 | $48,977.88 |
MVP Health Care Setting Professional Modifier None Typical Low $363.08 Median $363.08 Typical High $363.08 | Professional | None | $363.08 | $363.08 | $363.08 |
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 $588.84 Median $741.31 Typical High $1,202.26 | Professional | None | $588.84 | $741.31 | $1,202.26 |
Univera Setting Facility Modifier None Typical Low $501.19 Median $575.44 Typical High $1,174.90 | Facility | None | $501.19 | $575.44 | $1,174.90 |
Univera Setting Professional Modifier None Typical Low $501.19 Median $724.44 Typical High $1,174.90 | Professional | None | $501.19 | $724.44 | $1,174.90 |
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 $371.54 Median $371.54 Typical High $524.81 | Professional | 54 · Surgery only | $371.54 | $371.54 | $524.81 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $346.74 Median $346.74 Typical High $489.78 | Professional | 78 · Unplanned return to OR | $346.74 | $346.74 | $489.78 |
Where New York sits
The same service costs 8.5 times more in Alaska than in Kentucky. 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· 12th of 51
$1,202
AK $2,884KY $339
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.