How much rates vary
Facilitymedian $3,388 · 10th to 90th $724 to $6,310Professionalmedian $93 · 10th to 90th $72 to $166
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 $1,318.26 Median $4,265.80 Typical High $8,128.31 | Facility | None | $1,318.26 | $4,265.80 | $8,128.31 |
Aetna Setting Professional Modifier None Typical Low $93.33 Median $102.33 Typical High $138.04 | Professional | None | $93.33 | $102.33 | $138.04 |
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 $75.86 Median $89.13 Typical High $141.25 | Professional | None | $75.86 | $89.13 | $141.25 |
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 $112.20 Median $112.20 Typical High $144.54 | Professional | None | $112.20 | $112.20 | $144.54 |
Cigna Setting Facility Modifier None Typical Low $128.82 Median $128.82 Typical High $128.82 | Facility | None | $128.82 | $128.82 | $128.82 |
Cigna Setting Professional Modifier None Typical Low $69.18 Median $93.33 Typical High $234.42 | Professional | None | $69.18 | $93.33 | $234.42 |
Emblem Health Setting Facility Modifier None Typical Low $75.86 Median $91.20 Typical High $281.84 | Facility | None | $75.86 | $91.20 | $281.84 |
Emblem Health Setting Professional Modifier None Typical Low $117.49 Median $131.83 Typical High $194.98 | Professional | None | $117.49 | $131.83 | $194.98 |
Excellus BCBS Setting Professional Modifier None Typical Low $72.44 Median $95.50 Typical High $154.88 | Professional | None | $72.44 | $95.50 | $154.88 |
MVP Health Care Setting Facility Modifier None Typical Low $87.10 Median $87.10 Typical High $87.10 | Facility | None | $87.10 | $87.10 | $87.10 |
MVP Health Care Setting Professional Modifier None Typical Low $107.15 Median $107.15 Typical High $245.47 | Professional | None | $107.15 | $107.15 | $245.47 |
United Setting Facility Modifier None Typical Low $1,318.26 Median $2,951.21 Typical High $5,011.87 | Facility | None | $1,318.26 | $2,951.21 | $5,011.87 |
United Setting Professional Modifier None Typical Low $57.54 Median $85.11 Typical High $186.21 | Professional | None | $57.54 | $85.11 | $186.21 |
Univera Setting Facility Modifier None Typical Low $45.71 Median $93.33 Typical High $275.42 | Facility | None | $45.71 | $93.33 | $275.42 |
Univera Setting Professional Modifier None Typical Low $72.44 Median $95.50 Typical High $154.88 | Professional | None | $72.44 | $95.50 | $154.88 |
7 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 $46.77 Median $51.29 Typical High $63.10 | Professional | 52 · Reduced service | $46.77 | $51.29 | $63.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.62 Median $20.42 Typical High $25.12 | Professional | 53 · Discontinued | $18.62 | $20.42 | $25.12 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $70.79 Median $77.62 Typical High $93.33 | Professional | 54 · Surgery only | $70.79 | $77.62 | $93.33 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $14.13 Median $15.49 Typical High $18.62 | Professional | 55 · Aftercare only | $14.13 | $15.49 | $18.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.33 Median $10.23 Typical High $12.59 | Professional | 56 · Pre-op care only | $9.33 | $10.23 | $12.59 |
Emblem Health Setting Professional Modifier GL · Free upgrade Typical Low $83.18 Median $95.50 Typical High $95.50 | Professional | GL · Free upgrade | $83.18 | $95.50 | $95.50 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $53.70 Median $66.07 Typical High $107.15 | Professional | 53 · Discontinued | $53.70 | $66.07 | $107.15 |
Where New York sits
The same service costs 3.8 times more in Alaska than in Florida. 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· 48th of 51
$93.33
AK $324FL $85.11
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.