How much rates vary
Facilitymedian $2,754 · 10th to 90th $457 to $5,248Professionalmedian $263 · 10th to 90th $200 to $427
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 $1,318.26 Median $4,168.69 Typical High $8,128.31 | Facility | None | $1,318.26 | $4,168.69 | $8,128.31 |
Aetna Setting Professional Modifier None Typical Low $251.19 Median $281.84 Typical High $371.54 | Professional | None | $251.19 | $281.84 | $371.54 |
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 $223.87 Median $263.03 Typical High $380.19 | Professional | None | $223.87 | $263.03 | $380.19 |
CDPHP Setting Facility Modifier None Typical Low $2,089.30 Median $2,089.30 Typical High $6,165.95 | Facility | None | $2,089.30 | $2,089.30 | $6,165.95 |
CDPHP Setting Professional Modifier None Typical Low $295.12 Median $295.12 Typical High $389.05 | Professional | None | $295.12 | $295.12 | $389.05 |
Cigna Setting Facility Modifier None Typical Low $223.87 Median $426.58 Typical High $1,479.11 | Facility | None | $223.87 | $426.58 | $1,479.11 |
Cigna Setting Professional Modifier None Typical Low $162.18 Median $218.78 Typical High $478.63 | Professional | None | $162.18 | $218.78 | $478.63 |
Emblem Health Setting Facility Modifier None Typical Low $190.55 Median $281.84 Typical High $1,174.90 | Facility | None | $190.55 | $281.84 | $1,174.90 |
Emblem Health Setting Professional Modifier None Typical Low $239.88 Median $338.84 Typical High $524.81 | Professional | None | $239.88 | $338.84 | $524.81 |
Excellus BCBS Setting Professional Modifier None Typical Low $162.18 Median $245.47 Typical High $371.54 | Professional | None | $162.18 | $245.47 | $371.54 |
Highmark BCBS Setting Professional Modifier None Typical Low $346.74 Median $346.74 Typical High $346.74 | Professional | None | $346.74 | $346.74 | $346.74 |
MVP Health Care Setting Facility Modifier None Typical Low $346.74 Median $3,235.94 Typical High $4,365.16 | Facility | None | $346.74 | $3,235.94 | $4,365.16 |
MVP Health Care Setting Professional Modifier None Typical Low $389.05 Median $426.58 Typical High $426.58 | Professional | None | $389.05 | $426.58 | $426.58 |
United Setting Facility Modifier None Typical Low $537.03 Median $1,659.59 Typical High $4,897.79 | Facility | None | $537.03 | $1,659.59 | $4,897.79 |
United Setting Professional Modifier None Typical Low $154.88 Median $245.47 Typical High $389.05 | Professional | None | $154.88 | $245.47 | $389.05 |
Univera Setting Facility Modifier None Typical Low $199.53 Median $239.88 Typical High $1,071.52 | Facility | None | $199.53 | $239.88 | $1,071.52 |
Univera Setting Professional Modifier None Typical Low $162.18 Median $245.47 Typical High $371.54 | Professional | None | $162.18 | $245.47 | $371.54 |
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 $125.89 Median $141.25 Typical High $169.82 | Professional | 52 · Reduced service | $125.89 | $141.25 | $169.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $50.12 Median $56.23 Typical High $67.61 | Professional | 53 · Discontinued | $50.12 | $56.23 | $67.61 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $186.21 Median $213.80 Typical High $257.04 | Professional | 54 · Surgery only | $186.21 | $213.80 | $257.04 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $37.15 Median $42.66 Typical High $51.29 | Professional | 55 · Aftercare only | $37.15 | $42.66 | $51.29 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $25.12 Median $28.18 Typical High $33.88 | Professional | 56 · Pre-op care only | $25.12 | $28.18 | $33.88 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $141.25 Median $173.78 Typical High $239.88 | Professional | 53 · Discontinued | $141.25 | $173.78 | $239.88 |
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· 42nd of 51
$263
AK $832FL $234
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.