How much rates vary
Facilitymedian $1,820 · 10th to 90th $437 to $2,188Professionalmedian $1,820 · 10th to 90th $1,622 to $2,188
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 $1,862.09 Median $1,862.09 Typical High $2,238.72 | Facility | None | $1,862.09 | $1,862.09 | $2,238.72 |
Aetna Setting Professional Modifier None Typical Low $1,862.09 Median $1,862.09 Typical High $2,041.74 | Professional | None | $1,862.09 | $1,862.09 | $2,041.74 |
Anthem BCBS Setting Facility Modifier None Typical Low $436.52 Median $436.52 Typical High $446.68 | Facility | None | $436.52 | $436.52 | $446.68 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,819.70 Median $1,819.70 Typical High $1,819.70 | Professional | None | $1,819.70 | $1,819.70 | $1,819.70 |
CDPHP Setting Professional Modifier None Typical Low $1,548.82 Median $1,548.82 Typical High $1,548.82 | Professional | None | $1,548.82 | $1,548.82 | $1,548.82 |
Cigna Setting Facility Modifier None Typical Low $1,862.09 Median $1,862.09 Typical High $3,090.30 | Facility | None | $1,862.09 | $1,862.09 | $3,090.30 |
Cigna Setting Professional Modifier None Typical Low $2,041.74 Median $2,041.74 Typical High $9,772.37 | Professional | None | $2,041.74 | $2,041.74 | $9,772.37 |
Emblem Health Setting Facility Modifier None Typical Low $1,513.56 Median $1,737.80 Typical High $2,818.38 | Facility | None | $1,513.56 | $1,737.80 | $2,818.38 |
Emblem Health Setting Professional Modifier None Typical Low $1,479.11 Median $1,737.80 Typical High $1,737.80 | Professional | None | $1,479.11 | $1,737.80 | $1,737.80 |
Excellus BCBS Setting Facility Modifier None Typical Low $1,819.70 Median $1,819.70 Typical High $1,819.70 | Facility | None | $1,819.70 | $1,819.70 | $1,819.70 |
Excellus BCBS Setting Professional Modifier None Typical Low $1,819.70 Median $1,819.70 Typical High $1,949.84 | Professional | None | $1,819.70 | $1,819.70 | $1,949.84 |
MVP Health Care Setting Facility Modifier None Typical Low $3,981.07 Median $3,981.07 Typical High $3,981.07 | Facility | None | $3,981.07 | $3,981.07 | $3,981.07 |
MVP Health Care Setting Professional Modifier None Typical Low $34.67 Median $34.67 Typical High $34.67 | Professional | None | $34.67 | $34.67 | $34.67 |
United Setting Facility Modifier None Typical Low $436.52 Median $436.52 Typical High $436.52 | Facility | None | $436.52 | $436.52 | $436.52 |
United Setting Professional Modifier None Typical Low $1,862.09 Median $2,187.76 Typical High $2,570.40 | Professional | None | $1,862.09 | $2,187.76 | $2,570.40 |
Univera Setting Facility Modifier None Typical Low $1,202.26 Median $1,819.70 Typical High $1,819.70 | Facility | None | $1,202.26 | $1,819.70 | $1,819.70 |
Univera Setting Professional Modifier None Typical Low $1,202.26 Median $1,819.70 Typical High $2,187.76 | Professional | None | $1,202.26 | $1,819.70 | $2,187.76 |
4 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 $933.25 Median $933.25 Typical High $933.25 | Professional | 52 · Reduced service | $933.25 | $933.25 | $933.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $371.54 Median $371.54 Typical High $371.54 | Professional | 53 · Discontinued | $371.54 | $371.54 | $371.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $275.42 Median $275.42 Typical High $275.42 | Professional | 55 · Aftercare only | $275.42 | $275.42 | $275.42 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $186.21 Median $186.21 Typical High $186.21 | Professional | 56 · Pre-op care only | $186.21 | $186.21 | $186.21 |
Where New York sits
The same service costs 1.9 times more in Arizona than in Hawaii. 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· 43rd of 51
$1,820
AZ $2,818HI $1,514
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.