How much rates vary
Facilitymedian $3,162 · 10th to 90th $501 to $7,413Professionalmedian $148 · 10th to 90th $65 to $209
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 $1,174.90 Median $3,801.89 Typical High $7,762.47 | Facility | None | $1,174.90 | $3,801.89 | $7,762.47 |
Aetna Setting Professional Modifier None Typical Low $74.13 Median $120.23 Typical High $181.97 | Professional | None | $74.13 | $120.23 | $181.97 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,288.25 Median $3,890.45 Typical High $7,943.28 | Facility | None | $1,288.25 | $3,890.45 | $7,943.28 |
Anthem BCBS Setting Professional Modifier None Typical Low $141.25 Median $165.96 Typical High $218.78 | Professional | None | $141.25 | $165.96 | $218.78 |
CDPHP Setting Facility Modifier None Typical Low $1,348.96 Median $1,348.96 Typical High $4,073.80 | Facility | None | $1,348.96 | $1,348.96 | $4,073.80 |
CDPHP Setting Professional Modifier None Typical Low $89.13 Median $89.13 Typical High $239.88 | Professional | None | $89.13 | $89.13 | $239.88 |
Cigna Setting Facility Modifier None Typical Low $194.98 Median $380.19 Typical High $1,819.70 | Facility | None | $194.98 | $380.19 | $1,819.70 |
Cigna Setting Professional Modifier None Typical Low $48.98 Median $134.90 Typical High $239.88 | Professional | None | $48.98 | $134.90 | $239.88 |
Emblem Health Setting Facility Modifier None Typical Low $72.44 Median $104.71 Typical High $257.04 | Facility | None | $72.44 | $104.71 | $257.04 |
Emblem Health Setting Professional Modifier None Typical Low $158.49 Median $218.78 Typical High $380.19 | Professional | None | $158.49 | $218.78 | $380.19 |
Excellus BCBS Setting Professional Modifier None Typical Low $109.65 Median $147.91 Typical High $213.80 | Professional | None | $109.65 | $147.91 | $213.80 |
Highmark BCBS Setting Professional Modifier None Typical Low $194.98 Median $194.98 Typical High $194.98 | Professional | None | $194.98 | $194.98 | $194.98 |
MVP Health Care Setting Facility Modifier None Typical Low $89.13 Median $1,819.70 Typical High $8,511.38 | Facility | None | $89.13 | $1,819.70 | $8,511.38 |
MVP Health Care Setting Professional Modifier None Typical Low $138.04 Median $138.04 Typical High $288.40 | Professional | None | $138.04 | $138.04 | $288.40 |
United Setting Facility Modifier None Typical Low $831.76 Median $2,238.72 Typical High $6,309.57 | Facility | None | $831.76 | $2,238.72 | $6,309.57 |
United Setting Professional Modifier None Typical Low $51.29 Median $114.82 Typical High $181.97 | Professional | None | $51.29 | $114.82 | $181.97 |
Univera Setting Facility Modifier None Typical Low $41.69 Median $158.49 Typical High $457.09 | Facility | None | $41.69 | $158.49 | $457.09 |
Univera Setting Professional Modifier None Typical Low $109.65 Median $158.49 Typical High $213.80 | Professional | None | $109.65 | $158.49 | $213.80 |
7 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 52 · Reduced service Typical Low $37.15 Median $60.26 Typical High $79.43 | Professional | 52 · Reduced service | $37.15 | $60.26 | $79.43 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.14 Median $23.99 Typical High $31.62 | Professional | 53 · Discontinued | $15.14 | $23.99 | $31.62 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $56.23 Median $89.13 Typical High $120.23 | Professional | 54 · Surgery only | $56.23 | $89.13 | $120.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $11.22 Median $17.78 Typical High $23.99 | Professional | 55 · Aftercare only | $11.22 | $17.78 | $23.99 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.59 Median $12.02 Typical High $15.85 | Professional | 56 · Pre-op care only | $7.59 | $12.02 | $15.85 |
Fidelis Setting Professional Modifier 59 · Distinct service Typical Low $239.88 Median $239.88 Typical High $239.88 | Professional | 59 · Distinct service | $239.88 | $239.88 | $239.88 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $75.86 Median $100.00 Typical High $151.36 | Professional | 53 · Discontinued | $75.86 | $100.00 | $151.36 |
Where New York sits
The same service costs 3.7 times more in Alaska than in Washington, DC. 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· 26th of 51
$148
AK $309DC $83.18
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.