How much rates vary
Facilitymedian $3,388 · 10th to 90th $589 to $6,457Professionalmedian $224 · 10th to 90th $138 to $398
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 $323.59 Median $3,981.07 Typical High $8,128.31 | Facility | None | $323.59 | $3,981.07 | $8,128.31 |
Aetna Setting Professional Modifier None Typical Low $134.90 Median $269.15 Typical High $302.00 | Professional | None | $134.90 | $269.15 | $302.00 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,819.70 Median $3,548.13 Typical High $4,897.79 | Facility | None | $1,819.70 | $3,548.13 | $4,897.79 |
Anthem BCBS Setting Professional Modifier None Typical Low $190.55 Median $223.87 Typical High $331.13 | Professional | None | $190.55 | $223.87 | $331.13 |
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 $165.96 Median $165.96 Typical High $371.54 | Professional | None | $165.96 | $165.96 | $371.54 |
Cigna Setting Facility Modifier None Typical Low $181.97 Median $181.97 Typical High $181.97 | Facility | None | $181.97 | $181.97 | $181.97 |
Cigna Setting Professional Modifier None Typical Low $95.50 Median $218.78 Typical High $524.81 | Professional | None | $95.50 | $218.78 | $524.81 |
Emblem Health Setting Facility Modifier None Typical Low $114.82 Median $147.91 Typical High $389.05 | Facility | None | $114.82 | $147.91 | $389.05 |
Emblem Health Setting Professional Modifier None Typical Low $257.04 Median $288.40 Typical High $426.58 | Professional | None | $257.04 | $288.40 | $426.58 |
Excellus BCBS Setting Professional Modifier None Typical Low $186.21 Median $234.42 Typical High $316.23 | Professional | None | $186.21 | $234.42 | $316.23 |
Highmark BCBS Setting Facility Modifier None Typical Low $436.52 Median $1,071.52 Typical High $2,570.40 | Facility | None | $436.52 | $1,071.52 | $2,570.40 |
Highmark BCBS Setting Professional Modifier None Typical Low $147.91 Median $173.78 Typical High $251.19 | Professional | None | $147.91 | $173.78 | $251.19 |
MVP Health Care Setting Facility Modifier None Typical Low $147.91 Median $3,235.94 Typical High $4,365.16 | Facility | None | $147.91 | $3,235.94 | $4,365.16 |
MVP Health Care Setting Professional Modifier None Typical Low $288.40 Median $288.40 Typical High $630.96 | Professional | None | $288.40 | $288.40 | $630.96 |
United Setting Facility Modifier None Typical Low $1,513.56 Median $3,311.31 Typical High $6,165.95 | Facility | None | $1,513.56 | $3,311.31 | $6,165.95 |
United Setting Professional Modifier None Typical Low $109.65 Median $223.87 Typical High $457.09 | Professional | None | $109.65 | $223.87 | $457.09 |
Univera Setting Facility Modifier None Typical Low $104.71 Median $134.90 Typical High $363.08 | Facility | None | $104.71 | $134.90 | $363.08 |
Univera Setting Professional Modifier None Typical Low $186.21 Median $234.42 Typical High $316.23 | Professional | None | $186.21 | $234.42 | $316.23 |
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 $67.61 Median $123.03 Typical High $144.54 | Professional | 52 · Reduced service | $67.61 | $123.03 | $144.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.92 Median $48.98 Typical High $57.54 | Professional | 53 · Discontinued | $26.92 | $48.98 | $57.54 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $102.33 Median $186.21 Typical High $218.78 | Professional | 54 · Surgery only | $102.33 | $186.21 | $218.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $20.42 Median $37.15 Typical High $43.65 | Professional | 55 · Aftercare only | $20.42 | $37.15 | $43.65 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $13.49 Median $24.55 Typical High $28.84 | Professional | 56 · Pre-op care only | $13.49 | $24.55 | $28.84 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $131.83 Median $165.96 Typical High $234.42 | Professional | 53 · Discontinued | $131.83 | $165.96 | $234.42 |
Where New York sits
The same service costs 3.4 times more in Alaska than in Virginia. 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· 38th of 51
$224
AK $513VA $151
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.