How much rates vary
Facilitymedian $3,162 · 10th to 90th $813 to $7,244Professionalmedian $537 · 10th to 90th $417 to $1,122
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 $645.65 Median $691.83 Typical High $1,548.82 | Professional | None | $645.65 | $691.83 | $1,548.82 |
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 $457.09 Median $537.03 Typical High $1,000.00 | Professional | None | $457.09 | $537.03 | $1,000.00 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $691.83 Median $812.83 Typical High $1,479.11 | Professional | 50 · Both sides | $691.83 | $812.83 | $1,479.11 |
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 $794.33 Median $794.33 Typical High $794.33 | Professional | None | $794.33 | $794.33 | $794.33 |
Cigna Setting Facility Modifier None Typical Low $1,000.00 Median $2,884.03 Typical High $5,623.41 | Facility | None | $1,000.00 | $2,884.03 | $5,623.41 |
Cigna Setting Professional Modifier None Typical Low $478.63 Median $691.83 Typical High $2,187.76 | Professional | None | $478.63 | $691.83 | $2,187.76 |
Emblem Health Setting Facility Modifier None Typical Low $575.44 Median $977.24 Typical High $2,041.74 | Facility | None | $575.44 | $977.24 | $2,041.74 |
Emblem Health Setting Professional Modifier None Typical Low $524.81 Median $602.56 Typical High $1,000.00 | Professional | None | $524.81 | $602.56 | $1,000.00 |
Excellus BCBS Setting Professional Modifier None Typical Low $389.05 Median $478.63 Typical High $891.25 | Professional | None | $389.05 | $478.63 | $891.25 |
MVP Health Care Setting Facility Modifier None Typical Low $630.96 Median $630.96 Typical High $1,819.70 | Facility | None | $630.96 | $630.96 | $1,819.70 |
MVP Health Care Setting Professional Modifier None Typical Low $316.23 Median $316.23 Typical High $1,380.38 | Professional | None | $316.23 | $316.23 | $1,380.38 |
United Setting Facility Modifier None Typical Low $549.54 Median $1,862.09 Typical High $5,248.07 | Facility | None | $549.54 | $1,862.09 | $5,248.07 |
United Setting Professional Modifier None Typical Low $398.11 Median $588.84 Typical High $1,548.82 | Professional | None | $398.11 | $588.84 | $1,548.82 |
Univera Setting Facility Modifier None Typical Low $467.74 Median $501.19 Typical High $2,137.96 | Facility | None | $467.74 | $501.19 | $2,137.96 |
Univera Setting Professional Modifier None Typical Low $389.05 Median $478.63 Typical High $812.83 | Professional | None | $389.05 | $478.63 | $812.83 |
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 $323.59 Median $346.74 Typical High $346.74 | Professional | 52 · Reduced service | $323.59 | $346.74 | $346.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $128.82 Median $138.04 Typical High $138.04 | Professional | 53 · Discontinued | $128.82 | $138.04 | $138.04 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $478.63 Median $512.86 Typical High $512.86 | Professional | 54 · Surgery only | $478.63 | $512.86 | $512.86 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $95.50 Median $102.33 Typical High $102.33 | Professional | 55 · Aftercare only | $95.50 | $102.33 | $102.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $64.57 Median $69.18 Typical High $69.18 | Professional | 56 · Pre-op care only | $64.57 | $69.18 | $69.18 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $288.40 Median $380.19 Typical High $562.34 | Professional | 53 · Discontinued | $288.40 | $380.19 | $562.34 |
Where New York sits
The same service costs 3.9 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· 50th of 51
$575
AK $2,239UT $575
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.