How much rates vary
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 $4,365.16 Typical High $8,128.31 | Facility | None | $1,513.56 | $4,365.16 | $8,128.31 |
Aetna Setting Professional Modifier None Typical Low $524.81 Median $524.81 Typical High $602.56 | Professional | None | $524.81 | $524.81 | $602.56 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,659.59 Median $6,309.57 Typical High $12,302.69 | Facility | None | $1,659.59 | $6,309.57 | $12,302.69 |
Anthem BCBS Setting Professional Modifier None Typical Low $354.81 Median $416.87 Typical High $776.25 | Professional | None | $354.81 | $416.87 | $776.25 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $56.23 Median $66.07 Typical High $123.03 | Professional | 80 · Assistant surgeon | $56.23 | $66.07 | $123.03 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $50.12 Median $58.88 Typical High $107.15 | Professional | AS · PA/NP assist | $50.12 | $58.88 | $107.15 |
CDPHP Setting Facility Modifier None Typical Low $2,290.87 Median $3,630.78 Typical High $10,964.78 | Facility | None | $2,290.87 | $3,630.78 | $10,964.78 |
CDPHP Setting Professional Modifier None Typical Low $645.65 Median $645.65 Typical High $645.65 | Professional | None | $645.65 | $645.65 | $645.65 |
Cigna Setting Facility Modifier None Typical Low $2,238.72 Median $3,890.45 Typical High $7,762.47 | Facility | None | $2,238.72 | $3,890.45 | $7,762.47 |
Cigna Setting Professional Modifier None Typical Low $380.19 Median $457.09 Typical High $1,621.81 | Professional | None | $380.19 | $457.09 | $1,621.81 |
Emblem Health Setting Facility Modifier None Typical Low $407.38 Median $524.81 Typical High $1,584.89 | Facility | None | $407.38 | $524.81 | $1,584.89 |
Emblem Health Setting Professional Modifier None Typical Low $436.52 Median $489.78 Typical High $707.95 | Professional | None | $436.52 | $489.78 | $707.95 |
Excellus BCBS Setting Professional Modifier None Typical Low $316.23 Median $371.54 Typical High $676.08 | Professional | None | $316.23 | $371.54 | $676.08 |
MVP Health Care Setting Facility Modifier None Typical Low $467.74 Median $467.74 Typical High $4,786.30 | Facility | None | $467.74 | $467.74 | $4,786.30 |
MVP Health Care Setting Professional Modifier None Typical Low $467.74 Median $467.74 Typical High $1,096.48 | Professional | None | $467.74 | $467.74 | $1,096.48 |
United Setting Facility Modifier None Typical Low $1,230.27 Median $3,162.28 Typical High $10,232.93 | Facility | None | $1,230.27 | $3,162.28 | $10,232.93 |
United Setting Professional Modifier None Typical Low $288.40 Median $446.68 Typical High $1,202.26 | Professional | None | $288.40 | $446.68 | $1,202.26 |
Univera Setting Facility Modifier None Typical Low $269.15 Median $398.11 Typical High $1,548.82 | Facility | None | $269.15 | $398.11 | $1,548.82 |
Univera Setting Professional Modifier None Typical Low $316.23 Median $371.54 Typical High $645.65 | Professional | None | $316.23 | $371.54 | $645.65 |
1 more rate 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 54 · Surgery only Typical Low $389.05 Median $389.05 Typical High $446.68 | Professional | 54 · Surgery only | $389.05 | $389.05 | $446.68 |
Where New York sits
The same service costs 4.3 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
$437
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.