How much rates vary
Facilitymedian $5,623 · 10th to 90th $1,202 to $14,454Professionalmedian $2,399 · 10th to 90th $1,950 to $5,248
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 $1,905.46 Median $6,309.57 Typical High $12,302.69 | Facility | None | $1,905.46 | $6,309.57 | $12,302.69 |
Aetna Setting Professional Modifier None Typical Low $2,691.53 Median $2,884.03 Typical High $5,495.41 | Professional | None | $2,691.53 | $2,884.03 | $5,495.41 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,862.09 Median $8,709.64 Typical High $15,488.17 | Facility | None | $1,862.09 | $8,709.64 | $15,488.17 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,995.26 Median $2,344.23 Typical High $4,677.35 | Professional | None | $1,995.26 | $2,344.23 | $4,677.35 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $2,951.21 Median $3,467.37 Typical High $7,079.46 | Professional | 50 · Both sides | $2,951.21 | $3,467.37 | $7,079.46 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $1,258.93 Median $1,479.11 Typical High $2,951.21 | Professional | 62 · Two surgeons | $1,258.93 | $1,479.11 | $2,951.21 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $316.23 Median $371.54 Typical High $741.31 | Professional | 80 · Assistant surgeon | $316.23 | $371.54 | $741.31 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $275.42 Median $323.59 Typical High $660.69 | Professional | AS · PA/NP assist | $275.42 | $323.59 | $660.69 |
CDPHP Setting Professional Modifier None Typical Low $3,311.31 Median $3,311.31 Typical High $3,311.31 | Professional | None | $3,311.31 | $3,311.31 | $3,311.31 |
Cigna Setting Facility Modifier None Typical Low $851.14 Median $1,778.28 Typical High $4,073.80 | Facility | None | $851.14 | $1,778.28 | $4,073.80 |
Cigna Setting Professional Modifier None Typical Low $2,290.87 Median $2,691.53 Typical High $13,182.57 | Professional | None | $2,290.87 | $2,691.53 | $13,182.57 |
Emblem Health Setting Facility Modifier None Typical Low $2,570.40 Median $4,570.88 Typical High $9,549.93 | Facility | None | $2,570.40 | $4,570.88 | $9,549.93 |
Emblem Health Setting Professional Modifier None Typical Low $2,691.53 Median $3,090.30 Typical High $5,128.61 | Professional | None | $2,691.53 | $3,090.30 | $5,128.61 |
Excellus BCBS Setting Professional Modifier None Typical Low $1,819.70 Median $2,137.96 Typical High $3,019.95 | Professional | None | $1,819.70 | $2,137.96 | $3,019.95 |
MVP Health Care Setting Facility Modifier None Typical Low $2,454.71 Median $5,754.40 Typical High $36,307.81 | Facility | None | $2,454.71 | $5,754.40 | $36,307.81 |
MVP Health Care Setting Professional Modifier None Typical Low $3,235.94 Median $3,235.94 Typical High $6,456.54 | Professional | None | $3,235.94 | $3,235.94 | $6,456.54 |
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 $2,041.74 Median $3,235.94 Typical High $7,762.47 | Professional | None | $2,041.74 | $3,235.94 | $7,762.47 |
Univera Setting Facility Modifier None Typical Low $2,137.96 Median $2,290.87 Typical High $7,762.47 | Facility | None | $2,137.96 | $2,290.87 | $7,762.47 |
Univera Setting Professional Modifier None Typical Low $1,819.70 Median $2,137.96 Typical High $3,019.95 | Professional | None | $1,819.70 | $2,137.96 | $3,019.95 |
15 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 $1,348.96 Median $1,445.44 Typical High $1,445.44 | Professional | 52 · Reduced service | $1,348.96 | $1,445.44 | $1,445.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $537.03 Median $575.44 Typical High $575.44 | Professional | 53 · Discontinued | $537.03 | $575.44 | $575.44 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $2,041.74 Median $2,137.96 Typical High $2,137.96 | Professional | 54 · Surgery only | $2,041.74 | $2,137.96 | $2,137.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $407.38 Median $426.58 Typical High $426.58 | Professional | 55 · Aftercare only | $407.38 | $426.58 | $426.58 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $269.15 Median $288.40 Typical High $288.40 | Professional | 56 · Pre-op care only | $269.15 | $288.40 | $288.40 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,905.46 Median $1,995.26 Typical High $1,995.26 | Professional | 78 · Unplanned return to OR | $1,905.46 | $1,995.26 | $1,995.26 |
Excellus BCBS Setting Professional Modifier 54 · Surgery only Typical Low $1,584.89 Median $1,862.09 Typical High $2,818.38 | Professional | 54 · Surgery only | $1,584.89 | $1,862.09 | $2,818.38 |
Excellus BCBS Setting Professional Modifier 55 · Aftercare only Typical Low $234.42 Median $281.84 Typical High $426.58 | Professional | 55 · Aftercare only | $234.42 | $281.84 | $426.58 |
Excellus BCBS Setting Professional Modifier 56 · Pre-op care only Typical Low $199.53 Median $234.42 Typical High $354.81 | Professional | 56 · Pre-op care only | $199.53 | $234.42 | $354.81 |
Excellus BCBS Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,380.38 Median $1,621.81 Typical High $2,454.71 | Professional | 78 · Unplanned return to OR | $1,380.38 | $1,621.81 | $2,454.71 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $1,174.90 Median $1,621.81 Typical High $2,398.83 | Professional | 53 · Discontinued | $1,174.90 | $1,621.81 | $2,398.83 |
Univera Setting Professional Modifier 54 · Surgery only Typical Low $1,584.89 Median $1,862.09 Typical High $2,630.27 | Professional | 54 · Surgery only | $1,584.89 | $1,862.09 | $2,630.27 |
Univera Setting Professional Modifier 55 · Aftercare only Typical Low $234.42 Median $281.84 Typical High $602.56 | Professional | 55 · Aftercare only | $234.42 | $281.84 | $602.56 |
Univera Setting Professional Modifier 56 · Pre-op care only Typical Low $199.53 Median $234.42 Typical High $512.86 | Professional | 56 · Pre-op care only | $199.53 | $234.42 | $512.86 |
Univera Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,380.38 Median $1,621.81 Typical High $2,344.23 | Professional | 78 · Unplanned return to OR | $1,380.38 | $1,621.81 | $2,344.23 |
Where New York sits
The same service costs 16.2 times more in Alaska than in Texas. 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· 40th of 51
$2,455
AK $9,772TX $603
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.