How much rates vary
Facilitymedian $3,388 · 10th to 90th $708 to $6,310Professionalmedian $58 · 10th to 90th $46 to $98
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 $4,265.80 Typical High $8,128.31 | Facility | None | $1,318.26 | $4,265.80 | $8,128.31 |
Aetna Setting Professional Modifier None Typical Low $63.10 Median $70.79 Typical High $72.44 | Professional | None | $63.10 | $70.79 | $72.44 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,819.70 Median $3,548.13 Typical High $4,897.79 | Facility | None | $1,819.70 | $3,548.13 | $4,897.79 |
Anthem BCBS Setting Professional Modifier None Typical Low $47.86 Median $56.23 Typical High $81.28 | Professional | None | $47.86 | $56.23 | $81.28 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $72.44 Median $85.11 Typical High $125.89 | Professional | 50 · Both sides | $72.44 | $85.11 | $125.89 |
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 $75.86 Median $75.86 Typical High $87.10 | Professional | None | $75.86 | $75.86 | $87.10 |
Cigna Setting Facility Modifier None Typical Low $79.43 Median $79.43 Typical High $79.43 | Facility | None | $79.43 | $79.43 | $79.43 |
Cigna Setting Professional Modifier None Typical Low $41.69 Median $47.86 Typical High $134.90 | Professional | None | $41.69 | $47.86 | $134.90 |
Emblem Health Setting Facility Modifier None Typical Low $47.86 Median $56.23 Typical High $177.83 | Facility | None | $47.86 | $56.23 | $177.83 |
Emblem Health Setting Professional Modifier None Typical Low $56.23 Median $56.23 Typical High $100.00 | Professional | None | $56.23 | $56.23 | $100.00 |
Excellus BCBS Setting Professional Modifier None Typical Low $37.15 Median $52.48 Typical High $75.86 | Professional | None | $37.15 | $52.48 | $75.86 |
MVP Health Care Setting Facility Modifier None Typical Low $58.88 Median $58.88 Typical High $58.88 | Facility | None | $58.88 | $58.88 | $58.88 |
MVP Health Care Setting Professional Modifier None Typical Low $75.86 Median $75.86 Typical High $165.96 | Professional | None | $75.86 | $75.86 | $165.96 |
United Setting Facility Modifier None Typical Low $1,318.26 Median $2,951.21 Typical High $5,011.87 | Facility | None | $1,318.26 | $2,951.21 | $5,011.87 |
United Setting Professional Modifier None Typical Low $40.74 Median $60.26 Typical High $120.23 | Professional | None | $40.74 | $60.26 | $120.23 |
Univera Setting Facility Modifier None Typical Low $48.98 Median $67.61 Typical High $389.05 | Facility | None | $48.98 | $67.61 | $389.05 |
Univera Setting Professional Modifier None Typical Low $37.15 Median $52.48 Typical High $75.86 | Professional | None | $37.15 | $52.48 | $75.86 |
7 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 $31.62 Median $33.11 Typical High $36.31 | Professional | 52 · Reduced service | $31.62 | $33.11 | $36.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.59 Median $13.49 Typical High $14.45 | Professional | 53 · Discontinued | $12.59 | $13.49 | $14.45 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $46.77 Median $50.12 Typical High $54.95 | Professional | 54 · Surgery only | $46.77 | $50.12 | $54.95 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $9.33 Median $10.00 Typical High $10.96 | Professional | 55 · Aftercare only | $9.33 | $10.00 | $10.96 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.31 Median $6.61 Typical High $7.24 | Professional | 56 · Pre-op care only | $6.31 | $6.61 | $7.24 |
Emblem Health Setting Professional Modifier GL · Free upgrade Typical Low $53.70 Median $61.66 Typical High $61.66 | Professional | GL · Free upgrade | $53.70 | $61.66 | $61.66 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $33.11 Median $41.69 Typical High $58.88 | Professional | 53 · Discontinued | $33.11 | $41.69 | $58.88 |
Where New York sits
The same service costs 3.4 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· 49th of 51
$57.54
AK $182FL $53.70
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.