How much rates vary
Facilitymedian $1,738 · 10th to 90th $692 to $6,310Professionalmedian $1,445 · 10th to 90th $891 to $2,138
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 $891.25 Median $1,148.15 Typical High $2,951.21 | Facility | None | $891.25 | $1,148.15 | $2,951.21 |
Aetna Setting Professional Modifier None Typical Low $891.25 Median $1,148.15 Typical High $2,187.76 | Professional | None | $891.25 | $1,148.15 | $2,187.76 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,187.76 Median $5,370.32 Typical High $11,220.18 | Facility | None | $2,187.76 | $5,370.32 | $11,220.18 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,258.93 Median $1,513.56 Typical High $1,995.26 | Professional | None | $1,258.93 | $1,513.56 | $1,995.26 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $199.53 Median $245.47 Typical High $323.59 | Professional | 80 · Assistant surgeon | $199.53 | $245.47 | $323.59 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $173.78 Median $213.80 Typical High $281.84 | Professional | AS · PA/NP assist | $173.78 | $213.80 | $281.84 |
CDPHP Setting Professional Modifier None Typical Low $1,318.26 Median $1,318.26 Typical High $1,318.26 | Professional | None | $1,318.26 | $1,318.26 | $1,318.26 |
Cigna Setting Facility Modifier None Typical Low $851.14 Median $1,778.28 Typical High $2,754.23 | Facility | None | $851.14 | $1,778.28 | $2,754.23 |
Cigna Setting Professional Modifier None Typical Low $1,071.52 Median $1,258.93 Typical High $3,715.35 | Professional | None | $1,071.52 | $1,258.93 | $3,715.35 |
Emblem Health Setting Facility Modifier None Typical Low $1,023.29 Median $1,737.80 Typical High $3,548.13 | Facility | None | $1,023.29 | $1,737.80 | $3,548.13 |
Emblem Health Setting Professional Modifier None Typical Low $758.58 Median $1,584.89 Typical High $1,862.09 | Professional | None | $758.58 | $1,584.89 | $1,862.09 |
Excellus BCBS Setting Professional Modifier None Typical Low $676.08 Median $891.25 Typical High $1,202.26 | Professional | None | $676.08 | $891.25 | $1,202.26 |
MVP Health Care Setting Facility Modifier None Typical Low $2,137.96 Median $2,137.96 Typical High $4,786.30 | Facility | None | $2,137.96 | $2,137.96 | $4,786.30 |
MVP Health Care Setting Professional Modifier None Typical Low $1,318.26 Median $1,659.59 Typical High $2,511.89 | Professional | None | $1,318.26 | $1,659.59 | $2,511.89 |
United Setting Facility Modifier None Typical Low $575.44 Median $1,737.80 Typical High $6,165.95 | Facility | None | $575.44 | $1,737.80 | $6,165.95 |
United Setting Professional Modifier None Typical Low $870.96 Median $1,479.11 Typical High $2,884.03 | Professional | None | $870.96 | $1,479.11 | $2,884.03 |
Univera Setting Facility Modifier None Typical Low $794.33 Median $1,000.00 Typical High $3,801.89 | Facility | None | $794.33 | $1,000.00 | $3,801.89 |
Univera Setting Professional Modifier None Typical Low $676.08 Median $891.25 Typical High $1,122.02 | Professional | None | $676.08 | $891.25 | $1,122.02 |
9 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 $446.68 Median $562.34 Typical High $562.34 | Professional | 52 · Reduced service | $446.68 | $562.34 | $562.34 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $177.83 Median $229.09 Typical High $229.09 | Professional | 53 · Discontinued | $177.83 | $229.09 | $229.09 |
Excellus BCBS Setting Professional Modifier U7 · State-defined Typical Low $676.08 Median $977.24 Typical High $1,258.93 | Professional | U7 · State-defined | $676.08 | $977.24 | $1,258.93 |
Excellus BCBS Setting Professional Modifier U8 · State-defined Typical Low $165.96 Median $245.47 Typical High $309.03 | Professional | U8 · State-defined | $165.96 | $245.47 | $309.03 |
Excellus BCBS Setting Professional Modifier U9 · State-defined Typical Low $676.08 Median $977.24 Typical High $1,258.93 | Professional | U9 · State-defined | $676.08 | $977.24 | $1,258.93 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $478.63 Median $660.69 Typical High $1,000.00 | Professional | 53 · Discontinued | $478.63 | $660.69 | $1,000.00 |
Univera Setting Professional Modifier U7 · State-defined Typical Low $676.08 Median $977.24 Typical High $1,202.26 | Professional | U7 · State-defined | $676.08 | $977.24 | $1,202.26 |
Univera Setting Professional Modifier U8 · State-defined Typical Low $165.96 Median $245.47 Typical High $302.00 | Professional | U8 · State-defined | $165.96 | $245.47 | $302.00 |
Univera Setting Professional Modifier U9 · State-defined Typical Low $676.08 Median $977.24 Typical High $1,202.26 | Professional | U9 · State-defined | $676.08 | $977.24 | $1,202.26 |
Where New York sits
The same service costs 3.4 times more in Alaska than in Utah. 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· 15th of 51
$1,445
AK $2,951UT $871
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.