How much rates vary
Facilitymedian $5,888 · 10th to 90th $513 to $25,704Professionalmedian $389 · 10th to 90th $316 to $759
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 $1,737.80 Median $6,309.57 Typical High $13,489.63 | Facility | None | $1,737.80 | $6,309.57 | $13,489.63 |
Aetna Setting Professional Modifier None Typical Low $407.38 Median $407.38 Typical High $3,467.37 | Professional | None | $407.38 | $407.38 | $3,467.37 |
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 $316.23 Median $380.19 Typical High $676.08 | Professional | None | $316.23 | $380.19 | $676.08 |
CDPHP Setting Facility Modifier None Typical Low $2,290.87 Median $4,466.84 Typical High $13,489.63 | Facility | None | $2,290.87 | $4,466.84 | $13,489.63 |
CDPHP Setting Professional Modifier None Typical Low $549.54 Median $549.54 Typical High $549.54 | Professional | None | $549.54 | $549.54 | $549.54 |
Cigna Setting Facility Modifier None Typical Low $6,918.31 Median $20,417.38 Typical High $53,703.18 | Facility | None | $6,918.31 | $20,417.38 | $53,703.18 |
Cigna Setting Professional Modifier None Typical Low $389.05 Median $467.74 Typical High $1,230.27 | Professional | None | $389.05 | $467.74 | $1,230.27 |
Emblem Health Setting Facility Modifier None Typical Low $263.03 Median $389.05 Typical High $1,230.27 | Facility | None | $263.03 | $389.05 | $1,230.27 |
Emblem Health Setting Professional Modifier None Typical Low $338.84 Median $389.05 Typical High $676.08 | Professional | None | $338.84 | $389.05 | $676.08 |
Excellus BCBS Setting Professional Modifier None Typical Low $269.15 Median $338.84 Typical High $549.54 | Professional | None | $269.15 | $338.84 | $549.54 |
MVP Health Care Setting Facility Modifier None Typical Low $524.81 Median $5,754.40 Typical High $7,413.10 | Facility | None | $524.81 | $5,754.40 | $7,413.10 |
MVP Health Care Setting Professional Modifier None Typical Low $398.11 Median $398.11 Typical High $933.25 | Professional | None | $398.11 | $398.11 | $933.25 |
United Setting Facility Modifier None Typical Low $363.08 Median $1,318.26 Typical High $4,365.16 | Facility | None | $363.08 | $1,318.26 | $4,365.16 |
United Setting Professional Modifier None Typical Low $257.04 Median $457.09 Typical High $954.99 | Professional | None | $257.04 | $457.09 | $954.99 |
Univera Setting Facility Modifier None Typical Low $338.84 Median $380.19 Typical High $977.24 | Facility | None | $338.84 | $380.19 | $977.24 |
Univera Setting Professional Modifier None Typical Low $269.15 Median $338.84 Typical High $549.54 | Professional | None | $269.15 | $338.84 | $549.54 |
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 $204.17 Median $204.17 Typical High $229.09 | Professional | 52 · Reduced service | $204.17 | $204.17 | $229.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $81.28 Median $81.28 Typical High $91.20 | Professional | 53 · Discontinued | $81.28 | $81.28 | $91.20 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $302.00 Median $302.00 Typical High $346.74 | Professional | 54 · Surgery only | $302.00 | $302.00 | $346.74 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $60.26 Median $60.26 Typical High $69.18 | Professional | 55 · Aftercare only | $60.26 | $60.26 | $69.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $40.74 Median $40.74 Typical High $45.71 | Professional | 56 · Pre-op care only | $40.74 | $40.74 | $45.71 |
Where New York sits
The same service costs 27.0 times more in Alabama than in Maryland. 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
AL $15,422MD $571
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.