How much rates vary
Facilitymedian $3,311 · 10th to 90th $912 to $7,586Professionalmedian $603 · 10th to 90th $468 to $1,349
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 $1,819.70 Median $5,623.41 Typical High $9,772.37 | Facility | None | $1,819.70 | $5,623.41 | $9,772.37 |
Aetna Setting Professional Modifier None Typical Low $645.65 Median $645.65 Typical High $2,089.30 | Professional | None | $645.65 | $645.65 | $2,089.30 |
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 $489.78 Median $588.84 Typical High $1,230.27 | Professional | None | $489.78 | $588.84 | $1,230.27 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $741.31 Median $870.96 Typical High $1,862.09 | Professional | 50 · Both sides | $741.31 | $870.96 | $1,862.09 |
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 $954.99 Median $954.99 Typical High $954.99 | Professional | None | $954.99 | $954.99 | $954.99 |
Cigna Setting Facility Modifier None Typical Low $831.76 Median $1,513.56 Typical High $2,344.23 | Facility | None | $831.76 | $1,513.56 | $2,344.23 |
Cigna Setting Professional Modifier None Typical Low $512.86 Median $776.25 Typical High $2,511.89 | Professional | None | $512.86 | $776.25 | $2,511.89 |
Emblem Health Setting Facility Modifier None Typical Low $501.19 Median $741.31 Typical High $2,344.23 | Facility | None | $501.19 | $741.31 | $2,344.23 |
Emblem Health Setting Professional Modifier None Typical Low $645.65 Median $741.31 Typical High $1,230.27 | Professional | None | $645.65 | $741.31 | $1,230.27 |
Excellus BCBS Setting Professional Modifier None Typical Low $446.68 Median $575.44 Typical High $831.76 | Professional | None | $446.68 | $575.44 | $831.76 |
MVP Health Care Setting Facility Modifier None Typical Low $724.44 Median $4,786.30 Typical High $5,754.40 | Facility | None | $724.44 | $4,786.30 | $5,754.40 |
MVP Health Care Setting Professional Modifier None Typical Low $758.58 Median $758.58 Typical High $1,659.59 | Professional | None | $758.58 | $758.58 | $1,659.59 |
United Setting Facility Modifier None Typical Low $831.76 Median $2,290.87 Typical High $6,309.57 | Facility | None | $831.76 | $2,290.87 | $6,309.57 |
United Setting Professional Modifier None Typical Low $363.08 Median $691.83 Typical High $1,862.09 | Professional | None | $363.08 | $691.83 | $1,862.09 |
Univera Setting Facility Modifier None Typical Low $512.86 Median $602.56 Typical High $2,137.96 | Facility | None | $512.86 | $602.56 | $2,137.96 |
Univera Setting Professional Modifier None Typical Low $446.68 Median $575.44 Typical High $776.25 | Professional | None | $446.68 | $575.44 | $776.25 |
15 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 $316.23 Median $316.23 Typical High $407.38 | Professional | 52 · Reduced service | $316.23 | $316.23 | $407.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $128.82 Median $128.82 Typical High $162.18 | Professional | 53 · Discontinued | $128.82 | $128.82 | $162.18 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $478.63 Median $478.63 Typical High $602.56 | Professional | 54 · Surgery only | $478.63 | $478.63 | $602.56 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $95.50 Median $95.50 Typical High $120.23 | Professional | 55 · Aftercare only | $95.50 | $95.50 | $120.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $64.57 Median $64.57 Typical High $81.28 | Professional | 56 · Pre-op care only | $64.57 | $64.57 | $81.28 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $446.68 Median $446.68 Typical High $562.34 | Professional | 78 · Unplanned return to OR | $446.68 | $446.68 | $562.34 |
Excellus BCBS Setting Professional Modifier 54 · Surgery only Typical Low $389.05 Median $489.78 Typical High $758.58 | Professional | 54 · Surgery only | $389.05 | $489.78 | $758.58 |
Excellus BCBS Setting Professional Modifier 55 · Aftercare only Typical Low $63.10 Median $79.43 Typical High $123.03 | Professional | 55 · Aftercare only | $63.10 | $79.43 | $123.03 |
Excellus BCBS Setting Professional Modifier 56 · Pre-op care only Typical Low $31.62 Median $39.81 Typical High $61.66 | Professional | 56 · Pre-op care only | $31.62 | $39.81 | $61.66 |
Excellus BCBS Setting Professional Modifier 78 · Unplanned return to OR Typical Low $354.81 Median $446.68 Typical High $691.83 | Professional | 78 · Unplanned return to OR | $354.81 | $446.68 | $691.83 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $338.84 Median $446.68 Typical High $676.08 | Professional | 53 · Discontinued | $338.84 | $446.68 | $676.08 |
Univera Setting Professional Modifier 54 · Surgery only Typical Low $389.05 Median $489.78 Typical High $707.95 | Professional | 54 · Surgery only | $389.05 | $489.78 | $707.95 |
Univera Setting Professional Modifier 55 · Aftercare only Typical Low $63.10 Median $79.43 Typical High $181.97 | Professional | 55 · Aftercare only | $63.10 | $79.43 | $181.97 |
Univera Setting Professional Modifier 56 · Pre-op care only Typical Low $31.62 Median $39.81 Typical High $91.20 | Professional | 56 · Pre-op care only | $31.62 | $39.81 | $91.20 |
Univera Setting Professional Modifier 78 · Unplanned return to OR Typical Low $354.81 Median $446.68 Typical High $660.69 | Professional | 78 · Unplanned return to OR | $354.81 | $446.68 | $660.69 |
Where New York sits
The same service costs 5.9 times more in Alaska than in Utah. 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
$617
AK $2,692UT $457
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.