How much rates vary
Facilitymedian $1,413 · 10th to 90th $646 to $5,495Professionalmedian $813 · 10th to 90th $646 to $1,905
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 $758.58 Median $812.83 Typical High $2,344.23 | Facility | None | $758.58 | $812.83 | $2,344.23 |
Aetna Setting Professional Modifier None Typical Low $758.58 Median $977.24 Typical High $1,737.80 | Professional | None | $758.58 | $977.24 | $1,737.80 |
Anthem BCBS Setting Professional Modifier None Typical Low $645.65 Median $758.58 Typical High $1,778.28 | Professional | None | $645.65 | $758.58 | $1,778.28 |
CDPHP Setting Professional Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $1,412.54 | Professional | None | $1,122.02 | $1,122.02 | $1,412.54 |
Cigna Setting Facility Modifier None Typical Low $1,288.25 Median $1,778.28 Typical High $3,981.07 | Facility | None | $1,288.25 | $1,778.28 | $3,981.07 |
Cigna Setting Professional Modifier None Typical Low $977.24 Median $1,230.27 Typical High $3,235.94 | Professional | None | $977.24 | $1,230.27 | $3,235.94 |
Emblem Health Setting Facility Modifier None Typical Low $776.25 Median $933.25 Typical High $3,019.95 | Facility | None | $776.25 | $933.25 | $3,019.95 |
Emblem Health Setting Professional Modifier None Typical Low $851.14 Median $1,000.00 Typical High $1,258.93 | Professional | None | $851.14 | $1,000.00 | $1,258.93 |
Excellus BCBS Setting Professional Modifier None Typical Low $691.83 Median $851.14 Typical High $1,230.27 | Professional | None | $691.83 | $851.14 | $1,230.27 |
Highmark BCBS Setting Professional Modifier None Typical Low $2,137.96 Median $2,137.96 Typical High $2,511.89 | Professional | None | $2,137.96 | $2,137.96 | $2,511.89 |
MVP Health Care Setting Facility Modifier None Typical Low $1,258.93 Median $1,258.93 Typical High $4,786.30 | Facility | None | $1,258.93 | $1,258.93 | $4,786.30 |
MVP Health Care Setting Professional Modifier None Typical Low $602.56 Median $602.56 Typical High $2,137.96 | Professional | None | $602.56 | $602.56 | $2,137.96 |
United Setting Facility Modifier None Typical Low $575.44 Median $1,698.24 Typical High $6,165.95 | Facility | None | $575.44 | $1,698.24 | $6,165.95 |
United Setting Professional Modifier None Typical Low $602.56 Median $933.25 Typical High $2,089.30 | Professional | None | $602.56 | $933.25 | $2,089.30 |
Univera Setting Facility Modifier None Typical Low $676.08 Median $954.99 Typical High $1,862.09 | Facility | None | $676.08 | $954.99 | $1,862.09 |
Univera Setting Professional Modifier None Typical Low $691.83 Median $912.01 Typical High $1,174.90 | Professional | None | $691.83 | $912.01 | $1,174.90 |
5 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 $380.19 Median $467.74 Typical High $489.78 | Professional | 52 · Reduced service | $380.19 | $467.74 | $489.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $112.20 Median $141.25 Typical High $147.91 | Professional | 55 · Aftercare only | $112.20 | $141.25 | $147.91 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $75.86 Median $93.33 Typical High $97.72 | Professional | 56 · Pre-op care only | $75.86 | $93.33 | $97.72 |
Fidelis Setting Professional Modifier GC · Resident with teaching physician Typical Low $100.00 Median $100.00 Typical High $100.00 | Professional | GC · Resident with teaching physician | $100.00 | $100.00 | $100.00 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $416.87 Median $575.44 Typical High $1,023.29 | Professional | 53 · Discontinued | $416.87 | $575.44 | $1,023.29 |
Where New York sits
The same service costs 3.2 times more in Alaska than in Indiana. 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
$813
AK $2,512IN $776
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.