How much rates vary
Facilitymedian $2,692 · 10th to 90th $288 to $5,248Professionalmedian $141 · 10th to 90th $107 to $269
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 $380.19 Median $3,981.07 Typical High $9,332.54 | Facility | None | $380.19 | $3,981.07 | $9,332.54 |
Aetna Setting Professional Modifier None Typical Low $141.25 Median $177.83 Typical High $234.42 | Professional | None | $141.25 | $177.83 | $234.42 |
Anthem BCBS Setting Facility Modifier None Typical Low $933.25 Median $3,162.28 Typical High $4,897.79 | Facility | None | $933.25 | $3,162.28 | $4,897.79 |
Anthem BCBS Setting Professional Modifier None Typical Low $117.49 Median $138.04 Typical High $199.53 | Professional | None | $117.49 | $138.04 | $199.53 |
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 $162.18 Median $162.18 Typical High $218.78 | Professional | None | $162.18 | $162.18 | $218.78 |
Cigna Setting Facility Modifier None Typical Low $104.71 Median $208.93 Typical High $407.38 | Facility | None | $104.71 | $208.93 | $407.38 |
Cigna Setting Professional Modifier None Typical Low $104.71 Median $144.54 Typical High $354.81 | Professional | None | $104.71 | $144.54 | $354.81 |
Emblem Health Setting Facility Modifier None Typical Low $112.20 Median $138.04 Typical High $436.52 | Facility | None | $112.20 | $138.04 | $436.52 |
Emblem Health Setting Professional Modifier None Typical Low $147.91 Median $173.78 Typical High $309.03 | Professional | None | $147.91 | $173.78 | $309.03 |
Excellus BCBS Setting Professional Modifier None Typical Low $123.03 Median $158.49 Typical High $186.21 | Professional | None | $123.03 | $158.49 | $186.21 |
Highmark BCBS Setting Facility Modifier None Typical Low $208.93 Median $616.60 Typical High $912.01 | Facility | None | $208.93 | $616.60 | $912.01 |
Highmark BCBS Setting Professional Modifier None Typical Low $218.78 Median $218.78 Typical High $218.78 | Professional | None | $218.78 | $218.78 | $218.78 |
MVP Health Care Setting Facility Modifier None Typical Low $134.90 Median $4,365.16 Typical High $36,307.81 | Facility | None | $134.90 | $4,365.16 | $36,307.81 |
MVP Health Care Setting Professional Modifier None Typical Low $91.20 Median $91.20 Typical High $346.74 | Professional | None | $91.20 | $91.20 | $346.74 |
United Setting Facility Modifier None Typical Low $549.54 Median $1,737.80 Typical High $4,897.79 | Facility | None | $549.54 | $1,737.80 | $4,897.79 |
United Setting Professional Modifier None Typical Low $89.13 Median $158.49 Typical High $323.59 | Professional | None | $89.13 | $158.49 | $323.59 |
Univera Setting Facility Modifier None Typical Low $102.33 Median $147.91 Typical High $281.84 | Facility | None | $102.33 | $147.91 | $281.84 |
Univera Setting Professional Modifier None Typical Low $123.03 Median $147.91 Typical High $186.21 | Professional | None | $123.03 | $147.91 | $186.21 |
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 $70.79 Median $83.18 Typical High $89.13 | Professional | 52 · Reduced service | $70.79 | $83.18 | $89.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $33.11 Typical High $35.48 | Professional | 53 · Discontinued | $28.18 | $33.11 | $35.48 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $104.71 Median $125.89 Typical High $134.90 | Professional | 54 · Surgery only | $104.71 | $125.89 | $134.90 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $20.89 Median $25.12 Typical High $26.92 | Professional | 55 · Aftercare only | $20.89 | $25.12 | $26.92 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $14.13 Median $16.60 Typical High $17.78 | Professional | 56 · Pre-op care only | $14.13 | $16.60 | $17.78 |
Where New York sits
The same service costs 3.5 times more in Alaska than in Florida. 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· 45th of 51
$145
AK $468FL $132
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.