How much rates vary
Facilitymedian $2,455 · 10th to 90th $182 to $5,012Professionalmedian $107 · 10th to 90th $85 to $209
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 $120.23 Median $3,715.35 Typical High $8,128.31 | Facility | None | $120.23 | $3,715.35 | $8,128.31 |
Aetna Setting Professional Modifier None Typical Low $109.65 Median $120.23 Typical High $199.53 | Professional | None | $109.65 | $120.23 | $199.53 |
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 $91.20 Median $107.15 Typical High $151.36 | Professional | None | $91.20 | $107.15 | $151.36 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $138.04 Median $162.18 Typical High $223.87 | Professional | 50 · Both sides | $138.04 | $162.18 | $223.87 |
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 $128.82 Median $128.82 Typical High $158.49 | Professional | None | $128.82 | $128.82 | $158.49 |
Cigna Setting Facility Modifier None Typical Low $89.13 Median $165.96 Typical High $1,479.11 | Facility | None | $89.13 | $165.96 | $1,479.11 |
Cigna Setting Professional Modifier None Typical Low $72.44 Median $89.13 Typical High $204.17 | Professional | None | $72.44 | $89.13 | $204.17 |
Emblem Health Setting Facility Modifier None Typical Low $87.10 Median $158.49 Typical High $331.13 | Facility | None | $87.10 | $158.49 | $331.13 |
Emblem Health Setting Professional Modifier None Typical Low $131.83 Median $147.91 Typical High $208.93 | Professional | None | $131.83 | $147.91 | $208.93 |
Excellus BCBS Setting Professional Modifier None Typical Low $91.20 Median $109.65 Typical High $199.53 | Professional | None | $91.20 | $109.65 | $199.53 |
Fidelis Setting Professional Modifier None Typical Low $83.18 Median $120.23 Typical High $120.23 | Professional | None | $83.18 | $120.23 | $120.23 |
Highmark BCBS Setting Facility Modifier None Typical Low $50.12 Median $354.81 Typical High $1,778.28 | Facility | None | $50.12 | $354.81 | $1,778.28 |
Highmark BCBS Setting Professional Modifier None Typical Low $104.71 Median $120.23 Typical High $141.25 | Professional | None | $104.71 | $120.23 | $141.25 |
MVP Health Care Setting Facility Modifier None Typical Low $436.52 Median $436.52 Typical High $436.52 | Facility | None | $436.52 | $436.52 | $436.52 |
MVP Health Care Setting Professional Modifier None Typical Low $141.25 Median $208.93 Typical High $208.93 | Professional | None | $141.25 | $208.93 | $208.93 |
United Setting Facility Modifier None Typical Low $363.08 Median $1,148.15 Typical High $4,365.16 | Facility | None | $363.08 | $1,148.15 | $4,365.16 |
United Setting Professional Modifier None Typical Low $67.61 Median $100.00 Typical High $177.83 | Professional | None | $67.61 | $100.00 | $177.83 |
Univera Setting Facility Modifier None Typical Low $87.10 Median $147.91 Typical High $707.95 | Facility | None | $87.10 | $147.91 | $707.95 |
Univera Setting Professional Modifier None Typical Low $91.20 Median $109.65 Typical High $204.17 | Professional | None | $91.20 | $109.65 | $204.17 |
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 $54.95 Median $60.26 Typical High $77.62 | Professional | 52 · Reduced service | $54.95 | $60.26 | $77.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $23.99 Typical High $30.90 | Professional | 53 · Discontinued | $21.88 | $23.99 | $30.90 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $81.28 Median $91.20 Typical High $114.82 | Professional | 54 · Surgery only | $81.28 | $91.20 | $114.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $16.60 Median $18.20 Typical High $22.91 | Professional | 55 · Aftercare only | $16.60 | $18.20 | $22.91 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.96 Median $12.02 Typical High $15.49 | Professional | 56 · Pre-op care only | $10.96 | $12.02 | $15.49 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $51.29 Median $63.10 Typical High $93.33 | Professional | 53 · Discontinued | $51.29 | $63.10 | $93.33 |
Where New York sits
The same service costs 3.7 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· 47th of 51
$110
AK $363FL $97.72
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.