How much rates vary
Facilitymedian $3,890 · 10th to 90th $1,023 to $10,000Professionalmedian $851 · 10th to 90th $692 to $1,413
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 $6,165.95 Typical High $10,964.78 | Facility | None | $1,819.70 | $6,165.95 | $10,964.78 |
Aetna Setting Professional Modifier None Typical Low $851.14 Median $851.14 Typical High $1,174.90 | Professional | None | $851.14 | $851.14 | $1,174.90 |
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 $691.83 Median $812.83 Typical High $912.01 | Professional | None | $691.83 | $812.83 | $912.01 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $436.52 Median $512.86 Typical High $575.44 | Professional | 62 · Two surgeons | $436.52 | $512.86 | $575.44 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $109.65 Median $131.83 Typical High $144.54 | Professional | 80 · Assistant surgeon | $109.65 | $131.83 | $144.54 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $97.72 Median $114.82 Typical High $125.89 | Professional | AS · PA/NP assist | $97.72 | $114.82 | $125.89 |
CDPHP Setting Professional Modifier None Typical Low $1,548.82 Median $1,548.82 Typical High $1,548.82 | Professional | None | $1,548.82 | $1,548.82 | $1,548.82 |
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 $912.01 Median $912.01 Typical High $2,041.74 | Professional | None | $912.01 | $912.01 | $2,041.74 |
Emblem Health Setting Facility Modifier None Typical Low $1,584.89 Median $3,019.95 Typical High $5,370.32 | Facility | None | $1,584.89 | $3,019.95 | $5,370.32 |
Emblem Health Setting Professional Modifier None Typical Low $1,548.82 Median $1,548.82 Typical High $2,754.23 | Professional | None | $1,548.82 | $1,548.82 | $2,754.23 |
Excellus BCBS Setting Professional Modifier None Typical Low $933.25 Median $1,202.26 Typical High $2,041.74 | Professional | None | $933.25 | $1,202.26 | $2,041.74 |
MVP Health Care Setting Professional Modifier None Typical Low $2,187.76 Median $2,187.76 Typical High $2,187.76 | Professional | None | $2,187.76 | $2,187.76 | $2,187.76 |
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 $912.01 Median $1,122.02 Typical High $1,862.09 | Professional | None | $912.01 | $1,122.02 | $1,862.09 |
Univera Setting Facility Modifier None Typical Low $891.25 Median $1,023.29 Typical High $2,570.40 | Facility | None | $891.25 | $1,023.29 | $2,570.40 |
Univera Setting Professional Modifier None Typical Low $933.25 Median $1,202.26 Typical High $1,862.09 | Professional | None | $933.25 | $1,202.26 | $1,862.09 |
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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $645.65 Median $645.65 Typical High $870.96 | Professional | 54 · Surgery only | $645.65 | $645.65 | $870.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $128.82 Median $128.82 Typical High $173.78 | Professional | 55 · Aftercare only | $128.82 | $128.82 | $173.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $85.11 Median $85.11 Typical High $117.49 | Professional | 56 · Pre-op care only | $85.11 | $85.11 | $117.49 |
Where New York sits
The same service costs 5.6 times more in Alaska than in New York. 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· 51st of 51
$851
AK $4,786NY $851
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.