How much rates vary
Facilitymedian $3,311 · 10th to 90th $1,000 to $7,413Professionalmedian $562 · 10th to 90th $457 to $1,047
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 $4,570.88 Typical High $10,471.29 | Facility | None | $1,513.56 | $4,570.88 | $10,471.29 |
Aetna Setting Professional Modifier None Typical Low $489.78 Median $489.78 Typical High $645.65 | Professional | None | $489.78 | $489.78 | $645.65 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,288.25 Median $3,890.45 Typical High $7,943.28 | Facility | None | $1,288.25 | $3,890.45 | $7,943.28 |
Anthem BCBS Setting Professional Modifier None Typical Low $478.63 Median $562.34 Typical High $741.31 | Professional | None | $478.63 | $562.34 | $741.31 |
CDPHP Setting Facility Modifier None Typical Low $1,148.15 Median $1,348.96 Typical High $4,073.80 | Facility | None | $1,148.15 | $1,348.96 | $4,073.80 |
CDPHP Setting Professional Modifier None Typical Low $794.33 Median $794.33 Typical High $794.33 | Professional | None | $794.33 | $794.33 | $794.33 |
Cigna Setting Facility Modifier None Typical Low $1,318.26 Median $2,398.83 Typical High $4,786.30 | Facility | None | $1,318.26 | $2,398.83 | $4,786.30 |
Cigna Setting Professional Modifier None Typical Low $549.54 Median $575.44 Typical High $1,445.44 | Professional | None | $549.54 | $575.44 | $1,445.44 |
Emblem Health Setting Facility Modifier None Typical Low $602.56 Median $1,096.48 Typical High $2,290.87 | Facility | None | $602.56 | $1,096.48 | $2,290.87 |
Emblem Health Setting Professional Modifier None Typical Low $660.69 Median $660.69 Typical High $1,096.48 | Professional | None | $660.69 | $660.69 | $1,096.48 |
Excellus BCBS Setting Professional Modifier None Typical Low $426.58 Median $501.19 Typical High $724.44 | Professional | None | $426.58 | $501.19 | $724.44 |
MVP Health Care Setting Facility Modifier None Typical Low $4,786.30 Median $5,754.40 Typical High $38,018.94 | Facility | None | $4,786.30 | $5,754.40 | $38,018.94 |
MVP Health Care Setting Professional Modifier None Typical Low $602.56 Median $741.31 Typical High $1,548.82 | Professional | None | $602.56 | $741.31 | $1,548.82 |
United Setting Facility Modifier None Typical Low $831.76 Median $2,290.87 Typical High $6,309.57 | Facility | None | $831.76 | $2,290.87 | $6,309.57 |
United Setting Professional Modifier None Typical Low $363.08 Median $741.31 Typical High $1,698.24 | Professional | None | $363.08 | $741.31 | $1,698.24 |
Univera Setting Facility Modifier None Typical Low $426.58 Median $512.86 Typical High $2,238.72 | Facility | None | $426.58 | $512.86 | $2,238.72 |
Univera Setting Professional Modifier None Typical Low $426.58 Median $478.63 Typical High $724.44 | Professional | None | $426.58 | $478.63 | $724.44 |
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 $239.88 Median $239.88 Typical High $323.59 | Professional | 52 · Reduced service | $239.88 | $239.88 | $323.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $97.72 Median $97.72 Typical High $128.82 | Professional | 53 · Discontinued | $97.72 | $97.72 | $128.82 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $363.08 Median $363.08 Typical High $478.63 | Professional | 54 · Surgery only | $363.08 | $363.08 | $478.63 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $72.44 Median $72.44 Typical High $97.72 | Professional | 55 · Aftercare only | $72.44 | $72.44 | $97.72 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $48.98 Median $48.98 Typical High $64.57 | Professional | 56 · Pre-op care only | $48.98 | $48.98 | $64.57 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $302.00 Median $302.00 Typical High $457.09 | Professional | 53 · Discontinued | $302.00 | $302.00 | $457.09 |
Where New York sits
The same service costs 4.5 times more in Alaska than in Kentucky. 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· 46th of 51
$562
AK $2,344KY $525
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.