How much rates vary
Facilitymedian $1,738 · 10th to 90th $178 to $6,761Professionalmedian $170 · 10th to 90th $132 to $372
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 $1,348.96 Median $4,265.80 Typical High $9,772.37 | Facility | None | $1,348.96 | $4,265.80 | $9,772.37 |
Aetna Setting Professional Modifier None Typical Low $165.96 Median $204.17 Typical High $229.09 | Professional | None | $165.96 | $204.17 | $229.09 |
Anthem BCBS Setting Professional Modifier None Typical Low $141.25 Median $165.96 Typical High $309.03 | Professional | None | $141.25 | $165.96 | $309.03 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $87.10 Median $104.71 Typical High $194.98 | Professional | 62 · Two surgeons | $87.10 | $104.71 | $194.98 |
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 $199.53 Median $199.53 Typical High $245.47 | Professional | None | $199.53 | $199.53 | $245.47 |
Cigna Setting Facility Modifier None Typical Low $125.89 Median $234.42 Typical High $1,479.11 | Facility | None | $125.89 | $234.42 | $1,479.11 |
Cigna Setting Professional Modifier None Typical Low $123.03 Median $181.97 Typical High $630.96 | Professional | None | $123.03 | $181.97 | $630.96 |
Emblem Health Setting Facility Modifier None Typical Low $147.91 Median $181.97 Typical High $524.81 | Facility | None | $147.91 | $181.97 | $524.81 |
Emblem Health Setting Professional Modifier None Typical Low $218.78 Median $239.88 Typical High $380.19 | Professional | None | $218.78 | $239.88 | $380.19 |
Excellus BCBS Setting Professional Modifier None Typical Low $120.23 Median $177.83 Typical High $257.04 | Professional | None | $120.23 | $177.83 | $257.04 |
MVP Health Care Setting Facility Modifier None Typical Low $3,235.94 Median $3,235.94 Typical High $4,365.16 | Facility | None | $3,235.94 | $3,235.94 | $4,365.16 |
MVP Health Care Setting Professional Modifier None Typical Low $199.53 Median $199.53 Typical High $426.58 | Professional | None | $199.53 | $199.53 | $426.58 |
United Setting Facility Modifier None Typical Low $549.54 Median $1,862.09 Typical High $4,897.79 | Facility | None | $549.54 | $1,862.09 | $4,897.79 |
United Setting Professional Modifier None Typical Low $107.15 Median $165.96 Typical High $446.68 | Professional | None | $107.15 | $165.96 | $446.68 |
Univera Setting Facility Modifier None Typical Low $81.28 Median $165.96 Typical High $588.84 | Facility | None | $81.28 | $165.96 | $588.84 |
Univera Setting Professional Modifier None Typical Low $100.00 Median $158.49 Typical High $257.04 | Professional | None | $100.00 | $158.49 | $257.04 |
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 $83.18 Median $91.20 Typical High $114.82 | Professional | 52 · Reduced service | $83.18 | $91.20 | $114.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.88 Median $36.31 Typical High $45.71 | Professional | 53 · Discontinued | $33.88 | $36.31 | $45.71 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $125.89 Median $138.04 Typical High $169.82 | Professional | 54 · Surgery only | $125.89 | $138.04 | $169.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $25.12 Median $27.54 Typical High $33.88 | Professional | 55 · Aftercare only | $25.12 | $27.54 | $33.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $16.60 Median $18.20 Typical High $22.91 | Professional | 56 · Pre-op care only | $16.60 | $18.20 | $22.91 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $89.13 Median $117.49 Typical High $181.97 | Professional | 53 · Discontinued | $89.13 | $117.49 | $181.97 |
Where New York sits
The same service costs 3.4 times more in Alaska than in Pennsylvania. 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
$174
AK $575PA $170
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.