How much rates vary
Facilitymedian $3,311 · 10th to 90th $832 to $7,586Professionalmedian $166 · 10th to 90th $91 to $234
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 $794.33 Median $3,801.89 Typical High $8,128.31 | Facility | None | $794.33 | $3,801.89 | $8,128.31 |
Aetna Setting Professional Modifier None Typical Low $107.15 Median $138.04 Typical High $194.98 | Professional | None | $107.15 | $138.04 | $194.98 |
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 $151.36 Median $177.83 Typical High $234.42 | Professional | None | $151.36 | $177.83 | $234.42 |
CDPHP Setting Facility Modifier None Typical Low $1,584.89 Median $2,089.30 Typical High $6,165.95 | Facility | None | $1,584.89 | $2,089.30 | $6,165.95 |
CDPHP Setting Professional Modifier None Typical Low $128.82 Median $128.82 Typical High $257.04 | Professional | None | $128.82 | $128.82 | $257.04 |
Cigna Setting Facility Modifier None Typical Low $1,348.96 Median $2,398.83 Typical High $4,897.79 | Facility | None | $1,348.96 | $2,398.83 | $4,897.79 |
Cigna Setting Professional Modifier None Typical Low $70.79 Median $144.54 Typical High $257.04 | Professional | None | $70.79 | $144.54 | $257.04 |
Emblem Health Setting Facility Modifier None Typical Low $97.72 Median $147.91 Typical High $346.74 | Facility | None | $97.72 | $147.91 | $346.74 |
Emblem Health Setting Professional Modifier None Typical Low $169.82 Median $194.98 Typical High $389.05 | Professional | None | $169.82 | $194.98 | $389.05 |
Excellus BCBS Setting Professional Modifier None Typical Low $117.49 Median $154.88 Typical High $229.09 | Professional | None | $117.49 | $154.88 | $229.09 |
Highmark BCBS Setting Facility Modifier None Typical Low $1,548.82 Median $1,548.82 Typical High $1,548.82 | Facility | None | $1,548.82 | $1,548.82 | $1,548.82 |
Highmark BCBS Setting Professional Modifier None Typical Low $213.80 Median $213.80 Typical High $213.80 | Professional | None | $213.80 | $213.80 | $213.80 |
MVP Health Care Setting Facility Modifier None Typical Low $107.15 Median $1,819.70 Typical High $8,511.38 | Facility | None | $107.15 | $1,819.70 | $8,511.38 |
MVP Health Care Setting Professional Modifier None Typical Low $234.42 Median $234.42 Typical High $309.03 | Professional | None | $234.42 | $234.42 | $309.03 |
United Setting Facility Modifier None Typical Low $1,122.02 Median $2,754.23 Typical High $7,413.10 | Facility | None | $1,122.02 | $2,754.23 | $7,413.10 |
United Setting Professional Modifier None Typical Low $69.18 Median $134.90 Typical High $208.93 | Professional | None | $69.18 | $134.90 | $208.93 |
Univera Setting Facility Modifier None Typical Low $57.54 Median $169.82 Typical High $616.60 | Facility | None | $57.54 | $169.82 | $616.60 |
Univera Setting Professional Modifier None Typical Low $117.49 Median $169.82 Typical High $223.87 | Professional | None | $117.49 | $169.82 | $223.87 |
6 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 $53.70 Median $67.61 Typical High $85.11 | Professional | 52 · Reduced service | $53.70 | $67.61 | $85.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $27.54 Typical High $33.88 | Professional | 53 · Discontinued | $21.88 | $27.54 | $33.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $81.28 Median $102.33 Typical High $128.82 | Professional | 54 · Surgery only | $81.28 | $102.33 | $128.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $16.22 Median $20.42 Typical High $25.70 | Professional | 55 · Aftercare only | $16.22 | $20.42 | $25.70 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.72 Median $13.80 Typical High $16.98 | Professional | 56 · Pre-op care only | $10.72 | $13.80 | $16.98 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $83.18 Median $107.15 Typical High $158.49 | Professional | 53 · Discontinued | $83.18 | $107.15 | $158.49 |
Where New York sits
The same service costs 3.6 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· 33rd of 51
$166
AK $407DC $112
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.