How much rates vary
Facilitymedian $3,467 · 10th to 90th $1,023 to $7,762Professionalmedian $589 · 10th to 90th $427 to $1,288
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 $1,659.59 Median $5,623.41 Typical High $9,772.37 | Facility | None | $1,659.59 | $5,623.41 | $9,772.37 |
Aetna Setting Professional Modifier None Typical Low $446.68 Median $676.08 Typical High $933.25 | Professional | None | $446.68 | $676.08 | $933.25 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,288.25 Median $3,890.45 Typical High $7,943.28 | Facility | None | $1,288.25 | $3,890.45 | $7,943.28 |
Anthem BCBS Setting Professional Modifier None Typical Low $501.19 Median $588.84 Typical High $1,148.15 | Professional | None | $501.19 | $588.84 | $1,148.15 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $758.58 Median $891.25 Typical High $1,737.80 | Professional | 50 · Both sides | $758.58 | $891.25 | $1,737.80 |
CDPHP Setting Facility Modifier None Typical Low $1,905.46 Median $2,951.21 Typical High $8,912.51 | Facility | None | $1,905.46 | $2,951.21 | $8,912.51 |
CDPHP Setting Professional Modifier None Typical Low $645.65 Median $645.65 Typical High $891.25 | Professional | None | $645.65 | $645.65 | $891.25 |
Cigna Setting Facility Modifier None Typical Low $1,318.26 Median $2,511.89 Typical High $5,011.87 | Facility | None | $1,318.26 | $2,511.89 | $5,011.87 |
Cigna Setting Professional Modifier None Typical Low $363.08 Median $562.34 Typical High $2,041.74 | Professional | None | $363.08 | $562.34 | $2,041.74 |
Emblem Health Setting Facility Modifier None Typical Low $501.19 Median $851.14 Typical High $1,778.28 | Facility | None | $501.19 | $851.14 | $1,778.28 |
Emblem Health Setting Professional Modifier None Typical Low $707.95 Median $812.83 Typical High $1,318.26 | Professional | None | $707.95 | $812.83 | $1,318.26 |
Excellus BCBS Setting Professional Modifier None Typical Low $436.52 Median $616.60 Typical High $812.83 | Professional | None | $436.52 | $616.60 | $812.83 |
MVP Health Care Setting Facility Modifier None Typical Low $489.78 Median $3,235.94 Typical High $4,365.16 | Facility | None | $489.78 | $3,235.94 | $4,365.16 |
MVP Health Care Setting Professional Modifier None Typical Low $549.54 Median $549.54 Typical High $1,548.82 | Professional | None | $549.54 | $549.54 | $1,548.82 |
United Setting Facility Modifier None Typical Low $1,122.02 Median $2,754.23 Typical High $7,762.47 | Facility | None | $1,122.02 | $2,754.23 | $7,762.47 |
United Setting Professional Modifier None Typical Low $288.40 Median $549.54 Typical High $1,548.82 | Professional | None | $288.40 | $549.54 | $1,548.82 |
Univera Setting Facility Modifier None Typical Low $371.54 Median $588.84 Typical High $2,187.76 | Facility | None | $371.54 | $588.84 | $2,187.76 |
Univera Setting Professional Modifier None Typical Low $436.52 Median $588.84 Typical High $758.58 | Professional | None | $436.52 | $588.84 | $758.58 |
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 $223.87 Median $338.84 Typical High $389.05 | Professional | 52 · Reduced service | $223.87 | $338.84 | $389.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $89.13 Median $134.90 Typical High $158.49 | Professional | 53 · Discontinued | $89.13 | $134.90 | $158.49 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $331.13 Median $512.86 Typical High $588.84 | Professional | 54 · Surgery only | $331.13 | $512.86 | $588.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $66.07 Median $102.33 Typical High $117.49 | Professional | 55 · Aftercare only | $66.07 | $102.33 | $117.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $44.67 Median $67.61 Typical High $79.43 | Professional | 56 · Pre-op care only | $44.67 | $67.61 | $79.43 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $309.03 Median $478.63 Typical High $549.54 | Professional | 78 · Unplanned return to OR | $309.03 | $478.63 | $549.54 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $309.03 Median $416.87 Typical High $660.69 | Professional | 53 · Discontinued | $309.03 | $416.87 | $660.69 |
Where New York sits
The same service costs 4.1 times more in Alaska than in Kentucky. 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
$603
AK $2,291KY $562
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.