How much rates vary
Facilitymedian $2,754 · 10th to 90th $631 to $5,248Professionalmedian $513 · 10th to 90th $389 to $1,072
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 $3,981.07 Typical High $8,128.31 | Facility | None | $1,513.56 | $3,981.07 | $8,128.31 |
Aetna Setting Professional Modifier None Typical Low $602.56 Median $645.65 Typical High $1,445.44 | Professional | None | $602.56 | $645.65 | $1,445.44 |
Anthem BCBS Setting Facility Modifier None Typical Low $933.25 Median $3,162.28 Typical High $4,897.79 | Facility | None | $933.25 | $3,162.28 | $4,897.79 |
Anthem BCBS Setting Professional Modifier None Typical Low $436.52 Median $512.86 Typical High $933.25 | Professional | None | $436.52 | $512.86 | $933.25 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $645.65 Median $758.58 Typical High $1,412.54 | Professional | 50 · Both sides | $645.65 | $758.58 | $1,412.54 |
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 $741.31 Median $741.31 Typical High $741.31 | Professional | None | $741.31 | $741.31 | $741.31 |
Cigna Setting Facility Modifier None Typical Low $426.58 Median $707.95 Typical High $1,479.11 | Facility | None | $426.58 | $707.95 | $1,479.11 |
Cigna Setting Professional Modifier None Typical Low $457.09 Median $660.69 Typical High $2,041.74 | Professional | None | $457.09 | $660.69 | $2,041.74 |
Emblem Health Setting Facility Modifier None Typical Low $537.03 Median $912.01 Typical High $1,905.46 | Facility | None | $537.03 | $912.01 | $1,905.46 |
Emblem Health Setting Professional Modifier None Typical Low $501.19 Median $562.34 Typical High $933.25 | Professional | None | $501.19 | $562.34 | $933.25 |
Excellus BCBS Setting Professional Modifier None Typical Low $371.54 Median $446.68 Typical High $831.76 | Professional | None | $371.54 | $446.68 | $831.76 |
MVP Health Care Setting Facility Modifier None Typical Low $588.84 Median $588.84 Typical High $1,819.70 | Facility | None | $588.84 | $588.84 | $1,819.70 |
MVP Health Care Setting Professional Modifier None Typical Low $346.74 Median $346.74 Typical High $1,318.26 | Professional | None | $346.74 | $346.74 | $1,318.26 |
United Setting Facility Modifier None Typical Low $549.54 Median $1,737.80 Typical High $4,897.79 | Facility | None | $549.54 | $1,737.80 | $4,897.79 |
United Setting Professional Modifier None Typical Low $380.19 Median $562.34 Typical High $1,479.11 | Professional | None | $380.19 | $562.34 | $1,479.11 |
Univera Setting Facility Modifier None Typical Low $436.52 Median $467.74 Typical High $1,995.26 | Facility | None | $436.52 | $467.74 | $1,995.26 |
Univera Setting Professional Modifier None Typical Low $371.54 Median $446.68 Typical High $776.25 | Professional | None | $371.54 | $446.68 | $776.25 |
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 $302.00 Median $323.59 Typical High $323.59 | Professional | 52 · Reduced service | $302.00 | $323.59 | $323.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $120.23 Median $128.82 Typical High $128.82 | Professional | 53 · Discontinued | $120.23 | $128.82 | $128.82 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $457.09 Median $489.78 Typical High $489.78 | Professional | 54 · Surgery only | $457.09 | $489.78 | $489.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $91.20 Median $97.72 Typical High $97.72 | Professional | 55 · Aftercare only | $91.20 | $97.72 | $97.72 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $60.26 Median $64.57 Typical High $64.57 | Professional | 56 · Pre-op care only | $60.26 | $64.57 | $64.57 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $275.42 Median $354.81 Typical High $524.81 | Professional | 53 · Discontinued | $275.42 | $354.81 | $524.81 |
Where New York sits
The same service costs 4.0 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· 49th of 51
$537
AK $2,089UT $525
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.