How much rates vary
Facilitymedian $5,012 · 10th to 90th $871 to $11,749Professionalmedian $115 · 10th to 90th $91 to $174
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 $1,513.56 Median $4,365.16 Typical High $8,128.31 | Facility | None | $1,513.56 | $4,365.16 | $8,128.31 |
Aetna Setting Professional Modifier None Typical Low $123.03 Median $144.54 Typical High $144.54 | Professional | None | $123.03 | $144.54 | $144.54 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,862.09 Median $7,079.46 Typical High $13,182.57 | Facility | None | $1,862.09 | $7,079.46 | $13,182.57 |
Anthem BCBS Setting Professional Modifier None Typical Low $97.72 Median $114.82 Typical High $177.83 | Professional | None | $97.72 | $114.82 | $177.83 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $61.66 Median $72.44 Typical High $112.20 | Professional | 62 · Two surgeons | $61.66 | $72.44 | $112.20 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $15.49 Median $18.20 Typical High $26.92 | Professional | 80 · Assistant surgeon | $15.49 | $18.20 | $26.92 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $13.49 Median $15.85 Typical High $22.39 | Professional | AS · PA/NP assist | $13.49 | $15.85 | $22.39 |
CDPHP Setting Facility Modifier None Typical Low $4,073.80 Median $4,073.80 Typical High $12,302.69 | Facility | None | $4,073.80 | $4,073.80 | $12,302.69 |
CDPHP Setting Professional Modifier None Typical Low $165.96 Median $165.96 Typical High $165.96 | Professional | None | $165.96 | $165.96 | $165.96 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $1,548.82 Typical High $1,862.09 | Facility | None | $588.84 | $1,548.82 | $1,862.09 |
Cigna Setting Professional Modifier None Typical Low $102.33 Median $102.33 Typical High $229.09 | Professional | None | $102.33 | $102.33 | $229.09 |
Emblem Health Setting Facility Modifier None Typical Low $114.82 Median $144.54 Typical High $436.52 | Facility | None | $114.82 | $144.54 | $436.52 |
Emblem Health Setting Professional Modifier None Typical Low $112.20 Median $125.89 Typical High $223.87 | Professional | None | $112.20 | $125.89 | $223.87 |
Excellus BCBS Setting Facility Modifier None Typical Low $151.36 Median $151.36 Typical High $151.36 | Facility | None | $151.36 | $151.36 | $151.36 |
Excellus BCBS Setting Professional Modifier None Typical Low $77.62 Median $100.00 Typical High $154.88 | Professional | None | $77.62 | $100.00 | $154.88 |
MVP Health Care Setting Facility Modifier None Typical Low $123.03 Median $3,235.94 Typical High $4,365.16 | Facility | None | $123.03 | $3,235.94 | $4,365.16 |
MVP Health Care Setting Professional Modifier None Typical Low $144.54 Median $144.54 Typical High $165.96 | Professional | None | $144.54 | $144.54 | $165.96 |
United Setting Facility Modifier None Typical Low $831.76 Median $2,187.76 Typical High $6,456.54 | Facility | None | $831.76 | $2,187.76 | $6,456.54 |
United Setting Professional Modifier None Typical Low $81.28 Median $114.82 Typical High $181.97 | Professional | None | $81.28 | $114.82 | $181.97 |
Univera Setting Facility Modifier None Typical Low $74.13 Median $112.20 Typical High $346.74 | Facility | None | $74.13 | $112.20 | $346.74 |
Univera Setting Professional Modifier None Typical Low $77.62 Median $100.00 Typical High $154.88 | Professional | None | $77.62 | $100.00 | $154.88 |
1 more rate 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 $93.33 Median $107.15 Typical High $107.15 | Professional | 54 · Surgery only | $93.33 | $107.15 | $107.15 |
Where New York sits
The same service costs 4.9 times more in Alaska than in Utah. 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
$115
AK $468UT $95.50
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.