How much rates vary
Facilitymedian $8,318 · 10th to 90th $1,549 to $27,542Professionalmedian $1,072 · 10th to 90th $851 to $2,089
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 $2,951.21 Median $7,762.47 Typical High $15,488.17 | Facility | None | $2,951.21 | $7,762.47 | $15,488.17 |
Aetna Setting Professional Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $6,456.54 | Professional | None | $1,122.02 | $1,122.02 | $6,456.54 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,819.70 Median $12,882.50 Typical High $29,512.09 | Facility | None | $1,819.70 | $12,882.50 | $29,512.09 |
Anthem BCBS Setting Professional Modifier None Typical Low $851.14 Median $1,023.29 Typical High $1,862.09 | Professional | None | $851.14 | $1,023.29 | $1,862.09 |
CDPHP Setting Facility Modifier None Typical Low $3,019.95 Median $4,466.84 Typical High $13,489.63 | Facility | None | $3,019.95 | $4,466.84 | $13,489.63 |
CDPHP Setting Professional Modifier None Typical Low $1,513.56 Median $1,513.56 Typical High $1,513.56 | Professional | None | $1,513.56 | $1,513.56 | $1,513.56 |
Cigna Setting Facility Modifier None Typical Low $1,548.82 Median $19,054.61 Typical High $31,622.78 | Facility | None | $1,548.82 | $19,054.61 | $31,622.78 |
Cigna Setting Professional Modifier None Typical Low $1,047.13 Median $1,288.25 Typical High $3,388.44 | Professional | None | $1,047.13 | $1,288.25 | $3,388.44 |
Emblem Health Setting Facility Modifier None Typical Low $741.31 Median $1,096.48 Typical High $3,388.44 | Facility | None | $741.31 | $1,096.48 | $3,388.44 |
Emblem Health Setting Professional Modifier None Typical Low $954.99 Median $1,096.48 Typical High $1,905.46 | Professional | None | $954.99 | $1,096.48 | $1,905.46 |
Excellus BCBS Setting Professional Modifier None Typical Low $758.58 Median $933.25 Typical High $1,479.11 | Professional | None | $758.58 | $933.25 | $1,479.11 |
MVP Health Care Setting Facility Modifier None Typical Low $1,479.11 Median $5,754.40 Typical High $7,413.10 | Facility | None | $1,479.11 | $5,754.40 | $7,413.10 |
MVP Health Care Setting Professional Modifier None Typical Low $1,096.48 Median $1,096.48 Typical High $2,630.27 | Professional | None | $1,096.48 | $1,096.48 | $2,630.27 |
United Setting Facility Modifier None Typical Low $1,698.24 Median $5,495.41 Typical High $30,902.95 | Facility | None | $1,698.24 | $5,495.41 | $30,902.95 |
United Setting Professional Modifier None Typical Low $724.44 Median $1,258.93 Typical High $2,630.27 | Professional | None | $724.44 | $1,258.93 | $2,630.27 |
Univera Setting Facility Modifier None Typical Low $933.25 Median $1,047.13 Typical High $2,630.27 | Facility | None | $933.25 | $1,047.13 | $2,630.27 |
Univera Setting Professional Modifier None Typical Low $758.58 Median $933.25 Typical High $1,479.11 | Professional | None | $758.58 | $933.25 | $1,479.11 |
5 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 $549.54 Median $549.54 Typical High $630.96 | Professional | 52 · Reduced service | $549.54 | $549.54 | $630.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $223.87 Median $223.87 Typical High $251.19 | Professional | 53 · Discontinued | $223.87 | $223.87 | $251.19 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $831.76 Median $831.76 Typical High $933.25 | Professional | 54 · Surgery only | $831.76 | $831.76 | $933.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $165.96 Median $165.96 Typical High $190.55 | Professional | 55 · Aftercare only | $165.96 | $165.96 | $190.55 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $112.20 Median $112.20 Typical High $125.89 | Professional | 56 · Pre-op care only | $112.20 | $112.20 | $125.89 |
Where New York sits
The same service costs 8.1 times more in Indiana 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.
Physician feeFacility fee
IN $23,026KY $2,834
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.