How much rates vary
Facilitymedian $5,129 · 10th to 90th $1,349 to $11,749Professionalmedian $851 · 10th to 90th $692 to $1,862
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 $2,137.96 Median $6,606.93 Typical High $14,791.08 | Facility | None | $2,137.96 | $6,606.93 | $14,791.08 |
Aetna Setting Professional Modifier None Typical Low $851.14 Median $851.14 Typical High $2,951.21 | Professional | None | $851.14 | $851.14 | $2,951.21 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,659.59 Median $6,309.57 Typical High $12,302.69 | Facility | None | $1,659.59 | $6,309.57 | $12,302.69 |
Anthem BCBS Setting Professional Modifier None Typical Low $724.44 Median $851.14 Typical High $1,698.24 | Professional | None | $724.44 | $851.14 | $1,698.24 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $1,096.48 Median $1,288.25 Typical High $2,511.89 | Professional | 50 · Both sides | $1,096.48 | $1,288.25 | $2,511.89 |
CDPHP Setting Facility Modifier None Typical Low $3,388.44 Median $4,466.84 Typical High $13,489.63 | Facility | None | $3,388.44 | $4,466.84 | $13,489.63 |
CDPHP Setting Professional Modifier None Typical Low $1,318.26 Median $1,318.26 Typical High $1,318.26 | Professional | None | $1,318.26 | $1,318.26 | $1,318.26 |
Cigna Setting Facility Modifier None Typical Low $1,737.80 Median $4,897.79 Typical High $10,232.93 | Facility | None | $1,737.80 | $4,897.79 | $10,232.93 |
Cigna Setting Professional Modifier None Typical Low $707.95 Median $954.99 Typical High $3,388.44 | Professional | None | $707.95 | $954.99 | $3,388.44 |
Emblem Health Setting Facility Modifier None Typical Low $933.25 Median $1,288.25 Typical High $3,388.44 | Facility | None | $933.25 | $1,288.25 | $3,388.44 |
Emblem Health Setting Professional Modifier None Typical Low $891.25 Median $1,023.29 Typical High $1,659.59 | Professional | None | $891.25 | $1,023.29 | $1,659.59 |
Excellus BCBS Setting Professional Modifier None Typical Low $616.60 Median $776.25 Typical High $1,148.15 | Professional | None | $616.60 | $776.25 | $1,148.15 |
MVP Health Care Setting Facility Modifier None Typical Low $954.99 Median $4,786.30 Typical High $5,754.40 | Facility | None | $954.99 | $4,786.30 | $5,754.40 |
MVP Health Care Setting Professional Modifier None Typical Low $1,148.15 Median $1,148.15 Typical High $2,238.72 | Professional | None | $1,148.15 | $1,148.15 | $2,238.72 |
United Setting Facility Modifier None Typical Low $1,318.26 Median $3,548.13 Typical High $12,022.64 | Facility | None | $1,318.26 | $3,548.13 | $12,022.64 |
United Setting Professional Modifier None Typical Low $512.86 Median $933.25 Typical High $2,511.89 | Professional | None | $512.86 | $933.25 | $2,511.89 |
Univera Setting Facility Modifier None Typical Low $707.95 Median $851.14 Typical High $5,495.41 | Facility | None | $707.95 | $851.14 | $5,495.41 |
Univera Setting Professional Modifier None Typical Low $616.60 Median $776.25 Typical High $1,096.48 | Professional | None | $616.60 | $776.25 | $1,096.48 |
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 $426.58 Median $426.58 Typical High $562.34 | Professional | 52 · Reduced service | $426.58 | $426.58 | $562.34 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $169.82 Median $169.82 Typical High $223.87 | Professional | 53 · Discontinued | $169.82 | $169.82 | $223.87 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $645.65 Median $645.65 Typical High $831.76 | Professional | 54 · Surgery only | $645.65 | $645.65 | $831.76 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $128.82 Median $128.82 Typical High $165.96 | Professional | 55 · Aftercare only | $128.82 | $128.82 | $165.96 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $85.11 Median $85.11 Typical High $112.20 | Professional | 56 · Pre-op care only | $85.11 | $85.11 | $112.20 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $602.56 Median $602.56 Typical High $776.25 | Professional | 78 · Unplanned return to OR | $602.56 | $602.56 | $776.25 |
Excellus BCBS Setting Professional Modifier 54 · Surgery only Typical Low $524.81 Median $676.08 Typical High $1,047.13 | Professional | 54 · Surgery only | $524.81 | $676.08 | $1,047.13 |
Excellus BCBS Setting Professional Modifier 55 · Aftercare only Typical Low $87.10 Median $109.65 Typical High $169.82 | Professional | 55 · Aftercare only | $87.10 | $109.65 | $169.82 |
Excellus BCBS Setting Professional Modifier 56 · Pre-op care only Typical Low $42.66 Median $54.95 Typical High $85.11 | Professional | 56 · Pre-op care only | $42.66 | $54.95 | $85.11 |
Excellus BCBS Setting Professional Modifier 78 · Unplanned return to OR Typical Low $489.78 Median $616.60 Typical High $954.99 | Professional | 78 · Unplanned return to OR | $489.78 | $616.60 | $954.99 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $457.09 Median $616.60 Typical High $933.25 | Professional | 53 · Discontinued | $457.09 | $616.60 | $933.25 |
Univera Setting Professional Modifier 54 · Surgery only Typical Low $524.81 Median $676.08 Typical High $977.24 | Professional | 54 · Surgery only | $524.81 | $676.08 | $977.24 |
Univera Setting Professional Modifier 55 · Aftercare only Typical Low $87.10 Median $109.65 Typical High $251.19 | Professional | 55 · Aftercare only | $87.10 | $109.65 | $251.19 |
Univera Setting Professional Modifier 56 · Pre-op care only Typical Low $42.66 Median $54.95 Typical High $125.89 | Professional | 56 · Pre-op care only | $42.66 | $54.95 | $125.89 |
Univera Setting Professional Modifier 78 · Unplanned return to OR Typical Low $489.78 Median $616.60 Typical High $912.01 | Professional | 78 · Unplanned return to OR | $489.78 | $616.60 | $912.01 |
Where New York sits
The same service costs 7.2 times more in Alaska than in Texas. 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
$912
AK $3,715TX $513
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.