How much rates vary
Facilitymedian $3,162 · 10th to 90th $776 to $7,413Professionalmedian $813 · 10th to 90th $141 to $1,585
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 $1,096.48 Median $4,168.69 Typical High $10,964.78 | Facility | None | $1,096.48 | $4,168.69 | $10,964.78 |
Aetna Setting Professional Modifier None Typical Low $181.97 Median $812.83 Typical High $1,148.15 | Professional | None | $181.97 | $812.83 | $1,148.15 |
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 $724.44 Median $851.14 Typical High $1,230.27 | Professional | None | $724.44 | $851.14 | $1,230.27 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $117.49 Median $138.04 Typical High $194.98 | Professional | 80 · Assistant surgeon | $117.49 | $138.04 | $194.98 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $102.33 Median $120.23 Typical High $169.82 | Professional | AS · PA/NP assist | $102.33 | $120.23 | $169.82 |
CDPHP Setting Facility Modifier None Typical Low $1,148.15 Median $1,348.96 Typical High $4,073.80 | Facility | None | $1,148.15 | $1,348.96 | $4,073.80 |
CDPHP Setting Professional Modifier None Typical Low $208.93 Median $208.93 Typical High $1,258.93 | Professional | None | $208.93 | $208.93 | $1,258.93 |
Cigna Setting Facility Modifier None Typical Low $977.24 Median $1,548.82 Typical High $3,090.30 | Facility | None | $977.24 | $1,548.82 | $3,090.30 |
Cigna Setting Professional Modifier None Typical Low $109.65 Median $549.54 Typical High $1,258.93 | Professional | None | $109.65 | $549.54 | $1,258.93 |
Emblem Health Setting Facility Modifier None Typical Low $144.54 Median $190.55 Typical High $512.86 | Facility | None | $144.54 | $190.55 | $512.86 |
Emblem Health Setting Professional Modifier None Typical Low $758.58 Median $912.01 Typical High $1,548.82 | Professional | None | $758.58 | $912.01 | $1,548.82 |
Excellus BCBS Setting Professional Modifier None Typical Low $512.86 Median $758.58 Typical High $1,023.29 | Professional | None | $512.86 | $758.58 | $1,023.29 |
Highmark BCBS Setting Professional Modifier None Typical Low $181.97 Median $181.97 Typical High $181.97 | Professional | None | $181.97 | $181.97 | $181.97 |
MVP Health Care Setting Facility Modifier None Typical Low $323.59 Median $3,235.94 Typical High $4,365.16 | Facility | None | $323.59 | $3,235.94 | $4,365.16 |
MVP Health Care Setting Professional Modifier None Typical Low $1,659.59 Median $1,659.59 Typical High $1,659.59 | Professional | None | $1,659.59 | $1,659.59 | $1,659.59 |
United Setting Facility Modifier None Typical Low $851.14 Median $2,290.87 Typical High $6,309.57 | Facility | None | $851.14 | $2,290.87 | $6,309.57 |
United Setting Professional Modifier None Typical Low $109.65 Median $537.03 Typical High $1,023.29 | Professional | None | $109.65 | $537.03 | $1,023.29 |
Univera Setting Facility Modifier None Typical Low $93.33 Median $407.38 Typical High $1,000.00 | Facility | None | $93.33 | $407.38 | $1,000.00 |
Univera Setting Professional Modifier None Typical Low $512.86 Median $758.58 Typical High $1,023.29 | Professional | None | $512.86 | $758.58 | $1,023.29 |
4 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 $138.04 Median $588.84 Typical High $851.14 | Professional | 54 · Surgery only | $138.04 | $588.84 | $851.14 |
Ambetter Setting Professional Modifier 51 · Multiple procedures Typical Low $707.95 Median $707.95 Typical High $707.95 | Professional | 51 · Multiple procedures | $707.95 | $707.95 | $707.95 |
Highmark BCBS Setting Facility Modifier GC · Resident with teaching physician Typical Low $6,165.95 Median $6,165.95 Typical High $6,165.95 | Facility | GC · Resident with teaching physician | $6,165.95 | $6,165.95 | $6,165.95 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $467.74 Median $588.84 Typical High $794.33 | Professional | 53 · Discontinued | $467.74 | $588.84 | $794.33 |
Where New York sits
The same service costs 5.0 times more in Colorado than in Maryland. 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.
Physician feeFacility fee
CO $4,941MD $994
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.