How much rates vary
Facilitymedian $2,692 · 10th to 90th $347 to $5,012Professionalmedian $112 · 10th to 90th $79 to $166
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 $741.31 Median $4,677.35 Typical High $10,232.93 | Facility | None | $741.31 | $4,677.35 | $10,232.93 |
Aetna Setting Professional Modifier None Typical Low $109.65 Median $134.90 Typical High $154.88 | Professional | None | $109.65 | $134.90 | $154.88 |
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 $97.72 Median $114.82 Typical High $151.36 | Professional | None | $97.72 | $114.82 | $151.36 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $147.91 Median $173.78 Typical High $229.09 | Professional | 50 · Both sides | $147.91 | $173.78 | $229.09 |
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 $141.25 Median $141.25 Typical High $162.18 | Professional | None | $141.25 | $141.25 | $162.18 |
Cigna Setting Facility Modifier None Typical Low $100.00 Median $151.36 Typical High $1,096.48 | Facility | None | $100.00 | $151.36 | $1,096.48 |
Cigna Setting Professional Modifier None Typical Low $79.43 Median $91.20 Typical High $223.87 | Professional | None | $79.43 | $91.20 | $223.87 |
Emblem Health Setting Facility Modifier None Typical Low $39.81 Median $97.72 Typical High $331.13 | Facility | None | $39.81 | $97.72 | $331.13 |
Emblem Health Setting Professional Modifier None Typical Low $100.00 Median $138.04 Typical High $208.93 | Professional | None | $100.00 | $138.04 | $208.93 |
Excellus BCBS Setting Professional Modifier None Typical Low $60.26 Median $100.00 Typical High $151.36 | Professional | None | $60.26 | $100.00 | $151.36 |
Highmark BCBS Setting Professional Modifier None Typical Low $141.25 Median $141.25 Typical High $141.25 | Professional | None | $141.25 | $141.25 | $141.25 |
MVP Health Care Setting Facility Modifier None Typical Low $97.72 Median $97.72 Typical High $97.72 | Facility | None | $97.72 | $97.72 | $97.72 |
MVP Health Care Setting Professional Modifier None Typical Low $34.67 Median $34.67 Typical High $169.82 | Professional | None | $34.67 | $34.67 | $169.82 |
United Setting Facility Modifier None Typical Low $363.08 Median $1,258.93 Typical High $4,365.16 | Facility | None | $363.08 | $1,258.93 | $4,365.16 |
United Setting Professional Modifier None Typical Low $75.86 Median $107.15 Typical High $169.82 | Professional | None | $75.86 | $107.15 | $169.82 |
Univera Setting Facility Modifier None Typical Low $75.86 Median $100.00 Typical High $213.80 | Facility | None | $75.86 | $100.00 | $213.80 |
Univera Setting Professional Modifier None Typical Low $60.26 Median $100.00 Typical High $151.36 | Professional | None | $60.26 | $100.00 | $151.36 |
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 $60.26 Median $67.61 Typical High $69.18 | Professional | 52 · Reduced service | $60.26 | $67.61 | $69.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.99 Median $26.92 Typical High $27.54 | Professional | 53 · Discontinued | $23.99 | $26.92 | $27.54 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $91.20 Median $102.33 Typical High $104.71 | Professional | 54 · Surgery only | $91.20 | $102.33 | $104.71 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $18.20 Median $20.42 Typical High $20.89 | Professional | 55 · Aftercare only | $18.20 | $20.42 | $20.89 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.02 Median $13.49 Typical High $13.80 | Professional | 56 · Pre-op care only | $12.02 | $13.49 | $13.80 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $58.88 Median $72.44 Typical High $100.00 | Professional | 53 · Discontinued | $58.88 | $72.44 | $100.00 |
Where New York sits
The same service costs 4.5 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· 39th of 51
$115
AK $407FL $91.20
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.