How much rates vary
Facilitymedian $3,890 · 10th to 90th $871 to $10,000Professionalmedian $372 · 10th to 90th $295 to $575
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 $1,584.89 Median $4,168.69 Typical High $9,332.54 | Facility | None | $1,584.89 | $4,168.69 | $9,332.54 |
Aetna Setting Professional Modifier None Typical Low $398.11 Median $457.09 Typical High $457.09 | Professional | None | $398.11 | $457.09 | $457.09 |
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 $316.23 Median $371.54 Typical High $575.44 | Professional | None | $316.23 | $371.54 | $575.44 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $199.53 Median $234.42 Typical High $363.08 | Professional | 62 · Two surgeons | $199.53 | $234.42 | $363.08 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $50.12 Median $58.88 Typical High $89.13 | Professional | 80 · Assistant surgeon | $50.12 | $58.88 | $89.13 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $43.65 Median $51.29 Typical High $79.43 | Professional | AS · PA/NP assist | $43.65 | $51.29 | $79.43 |
CDPHP Setting Professional Modifier None Typical Low $537.03 Median $537.03 Typical High $537.03 | Professional | None | $537.03 | $537.03 | $537.03 |
Cigna Setting Facility Modifier None Typical Low $794.33 Median $1,778.28 Typical High $2,754.23 | Facility | None | $794.33 | $1,778.28 | $2,754.23 |
Cigna Setting Professional Modifier None Typical Low $323.59 Median $331.13 Typical High $741.31 | Professional | None | $323.59 | $331.13 | $741.31 |
Emblem Health Setting Facility Modifier None Typical Low $371.54 Median $630.96 Typical High $1,621.81 | Facility | None | $371.54 | $630.96 | $1,621.81 |
Emblem Health Setting Professional Modifier None Typical Low $407.38 Median $407.38 Typical High $724.44 | Professional | None | $407.38 | $407.38 | $724.44 |
Excellus BCBS Setting Professional Modifier None Typical Low $204.17 Median $323.59 Typical High $501.19 | Professional | None | $204.17 | $323.59 | $501.19 |
MVP Health Care Setting Professional Modifier None Typical Low $416.87 Median $416.87 Typical High $537.03 | Professional | None | $416.87 | $416.87 | $537.03 |
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 $263.03 Median $363.08 Typical High $588.84 | Professional | None | $263.03 | $363.08 | $588.84 |
Univera Setting Facility Modifier None Typical Low $239.88 Median $489.78 Typical High $1,202.26 | Facility | None | $239.88 | $489.78 | $1,202.26 |
Univera Setting Professional Modifier None Typical Low $204.17 Median $323.59 Typical High $501.19 | Professional | None | $204.17 | $323.59 | $501.19 |
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 $295.12 Median $346.74 Typical High $346.74 | Professional | 54 · Surgery only | $295.12 | $346.74 | $346.74 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $58.88 Median $69.18 Typical High $69.18 | Professional | 55 · Aftercare only | $58.88 | $69.18 | $69.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $39.81 Median $45.71 Typical High $45.71 | Professional | 56 · Pre-op care only | $39.81 | $45.71 | $45.71 |
Where New York sits
The same service costs 4.4 times more in Alaska than in New Jersey. 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
$372
AK $1,514NJ $347
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.