How much rates vary
Facilitymedian $3,311 · 10th to 90th $389 to $6,166Professionalmedian $141 · 10th to 90th $30 to $251
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 $186.21 Median $3,981.07 Typical High $8,128.31 | Facility | None | $186.21 | $3,981.07 | $8,128.31 |
Aetna Setting Professional Modifier None Typical Low $31.62 Median $141.25 Typical High $186.21 | Professional | None | $31.62 | $141.25 | $186.21 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,819.70 Median $3,548.13 Typical High $4,897.79 | Facility | None | $1,819.70 | $3,548.13 | $4,897.79 |
Anthem BCBS Setting Professional Modifier None Typical Low $128.82 Median $151.36 Typical High $208.93 | Professional | None | $128.82 | $151.36 | $208.93 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $19.95 Median $23.44 Typical High $33.88 | Professional | 80 · Assistant surgeon | $19.95 | $23.44 | $33.88 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $17.78 Median $21.38 Typical High $28.18 | Professional | AS · PA/NP assist | $17.78 | $21.38 | $28.18 |
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 $43.65 Median $43.65 Typical High $208.93 | Professional | None | $43.65 | $43.65 | $208.93 |
Cigna Setting Facility Modifier None Typical Low $46.77 Median $46.77 Typical High $46.77 | Facility | None | $46.77 | $46.77 | $46.77 |
Cigna Setting Professional Modifier None Typical Low $22.39 Median $69.18 Typical High $234.42 | Professional | None | $22.39 | $69.18 | $234.42 |
Emblem Health Setting Facility Modifier None Typical Low $28.84 Median $34.67 Typical High $100.00 | Facility | None | $28.84 | $34.67 | $100.00 |
Emblem Health Setting Professional Modifier None Typical Low $141.25 Median $154.88 Typical High $229.09 | Professional | None | $141.25 | $154.88 | $229.09 |
Excellus BCBS Setting Professional Modifier None Typical Low $89.13 Median $123.03 Typical High $173.78 | Professional | None | $89.13 | $123.03 | $173.78 |
Highmark BCBS Setting Facility Modifier None Typical Low $147.91 Median $776.25 Typical High $1,862.09 | Facility | None | $147.91 | $776.25 | $1,862.09 |
Highmark BCBS Setting Professional Modifier None Typical Low $28.18 Median $38.02 Typical High $186.21 | Professional | None | $28.18 | $38.02 | $186.21 |
MVP Health Care Setting Facility Modifier None Typical Low $107.15 Median $107.15 Typical High $107.15 | Facility | None | $107.15 | $107.15 | $107.15 |
MVP Health Care Setting Professional Modifier None Typical Low $223.87 Median $251.19 Typical High $380.19 | Professional | None | $223.87 | $251.19 | $380.19 |
United Setting Facility Modifier None Typical Low $724.44 Median $2,818.38 Typical High $4,897.79 | Facility | None | $724.44 | $2,818.38 | $4,897.79 |
United Setting Professional Modifier None Typical Low $22.39 Median $93.33 Typical High $199.53 | Professional | None | $22.39 | $93.33 | $199.53 |
Univera Setting Facility Modifier None Typical Low $19.05 Median $38.90 Typical High $117.49 | Facility | None | $19.05 | $38.90 | $117.49 |
Univera Setting Professional Modifier None Typical Low $89.13 Median $125.89 Typical High $173.78 | Professional | None | $89.13 | $125.89 | $173.78 |
2 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 $26.30 Median $100.00 Typical High $141.25 | Professional | 54 · Surgery only | $26.30 | $100.00 | $141.25 |
Emblem Health Setting Professional Modifier GL · Free upgrade Typical Low $181.97 Median $181.97 Typical High $181.97 | Professional | GL · Free upgrade | $181.97 | $181.97 | $181.97 |
Where New York sits
The same service costs 4.7 times more in Wisconsin 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.
New York· 22nd of 51
$141
WI $245MD $52.48
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.