How much rates vary
Facilitymedian $3,467 · 10th to 90th $1,023 to $7,762Professionalmedian $331 · 10th to 90th $263 to $692
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 $1,819.70 Median $4,677.35 Typical High $9,120.11 | Facility | None | $1,819.70 | $4,677.35 | $9,120.11 |
Aetna Setting Professional Modifier None Typical Low $389.05 Median $416.87 Typical High $933.25 | Professional | None | $389.05 | $416.87 | $933.25 |
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 $275.42 Median $323.59 Typical High $602.56 | Professional | None | $275.42 | $323.59 | $602.56 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $416.87 Median $489.78 Typical High $912.01 | Professional | 50 · Both sides | $416.87 | $489.78 | $912.01 |
CDPHP Setting Facility Modifier None Typical Low $1,905.46 Median $2,951.21 Typical High $8,912.51 | Facility | None | $1,905.46 | $2,951.21 | $8,912.51 |
CDPHP Setting Professional Modifier None Typical Low $478.63 Median $478.63 Typical High $478.63 | Professional | None | $478.63 | $478.63 | $478.63 |
Cigna Setting Facility Modifier None Typical Low $1,621.81 Median $2,884.03 Typical High $5,754.40 | Facility | None | $1,621.81 | $2,884.03 | $5,754.40 |
Cigna Setting Professional Modifier None Typical Low $295.12 Median $436.52 Typical High $1,318.26 | Professional | None | $295.12 | $436.52 | $1,318.26 |
Emblem Health Setting Facility Modifier None Typical Low $354.81 Median $660.69 Typical High $1,348.96 | Facility | None | $354.81 | $660.69 | $1,348.96 |
Emblem Health Setting Professional Modifier None Typical Low $338.84 Median $380.19 Typical High $602.56 | Professional | None | $338.84 | $380.19 | $602.56 |
Excellus BCBS Setting Professional Modifier None Typical Low $239.88 Median $302.00 Typical High $537.03 | Professional | None | $239.88 | $302.00 | $537.03 |
MVP Health Care Setting Facility Modifier None Typical Low $426.58 Median $1,819.70 Typical High $8,511.38 | Facility | None | $426.58 | $1,819.70 | $8,511.38 |
MVP Health Care Setting Professional Modifier None Typical Low $478.63 Median $478.63 Typical High $851.14 | Professional | None | $478.63 | $478.63 | $851.14 |
United Setting Facility Modifier None Typical Low $1,122.02 Median $2,754.23 Typical High $7,762.47 | Facility | None | $1,122.02 | $2,754.23 | $7,762.47 |
United Setting Professional Modifier None Typical Low $245.47 Median $363.08 Typical High $954.99 | Professional | None | $245.47 | $363.08 | $954.99 |
Univera Setting Facility Modifier None Typical Low $281.84 Median $302.00 Typical High $1,412.54 | Facility | None | $281.84 | $302.00 | $1,412.54 |
Univera Setting Professional Modifier None Typical Low $239.88 Median $302.00 Typical High $501.19 | Professional | None | $239.88 | $302.00 | $501.19 |
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 $194.98 Median $208.93 Typical High $208.93 | Professional | 52 · Reduced service | $194.98 | $208.93 | $208.93 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $77.62 Median $83.18 Typical High $83.18 | Professional | 53 · Discontinued | $77.62 | $83.18 | $83.18 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $295.12 Median $316.23 Typical High $316.23 | Professional | 54 · Surgery only | $295.12 | $316.23 | $316.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $58.88 Median $63.10 Typical High $63.10 | Professional | 55 · Aftercare only | $58.88 | $63.10 | $63.10 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $38.90 Median $41.69 Typical High $41.69 | Professional | 56 · Pre-op care only | $38.90 | $41.69 | $41.69 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $177.83 Median $229.09 Typical High $346.74 | Professional | 53 · Discontinued | $177.83 | $229.09 | $346.74 |
Where New York sits
The same service costs 4.7 times more in Alaska than in New York. 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· 51st of 51
$347
AK $1,622NY $347
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.