How much rates vary
Facilitymedian $7,586 · 10th to 90th $1,514 to $26,303Professionalmedian $676 · 10th to 90th $166 to $813
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 $3,090.30 Median $7,413.10 Typical High $15,488.17 | Facility | None | $3,090.30 | $7,413.10 | $15,488.17 |
Aetna Setting Professional Modifier None (both parts) Typical Low $2,238.72 Median $9,772.37 Typical High $21,379.62 | Professional | None (both parts) | $2,238.72 | $9,772.37 | $21,379.62 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $162.18 Median $162.18 Typical High $223.87 | Professional | 26 · Professional part | $162.18 | $162.18 | $223.87 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,513.56 Median $9,772.37 Typical High $28,183.83 | Facility | None | $1,513.56 | $9,772.37 | $28,183.83 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $602.56 Median $724.44 Typical High $851.14 | Professional | None (both parts) | $602.56 | $724.44 | $851.14 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $169.82 Median $199.53 Typical High $851.14 | Professional | 26 · Professional part | $169.82 | $199.53 | $851.14 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $446.68 Median $549.54 Typical High $630.96 | Professional | TC · Technical part | $446.68 | $549.54 | $630.96 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $269.15 Median $269.15 Typical High $269.15 | Professional | None (both parts) | $269.15 | $269.15 | $269.15 |
Cigna Setting Facility Modifier None Typical Low $1,862.09 Median $33,884.42 Typical High $42,657.95 | Facility | None | $1,862.09 | $33,884.42 | $42,657.95 |
Cigna Setting Professional Modifier None (both parts) Typical Low $891.25 Median $891.25 Typical High $891.25 | Professional | None (both parts) | $891.25 | $891.25 | $891.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $181.97 Median $194.98 Typical High $575.44 | Professional | 26 · Professional part | $181.97 | $194.98 | $575.44 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $190.55 Median $223.87 Typical High $389.05 | Professional | 26 · Professional part | $190.55 | $223.87 | $389.05 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $154.88 Median $181.97 Typical High $275.42 | Professional | None (both parts) | $154.88 | $181.97 | $275.42 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $125.89 Median $165.96 Typical High $263.03 | Professional | 26 · Professional part | $125.89 | $165.96 | $263.03 |
MVP Health Care Setting Facility Modifier None Typical Low $5,754.40 Median $6,606.93 Typical High $7,413.10 | Facility | None | $5,754.40 | $6,606.93 | $7,413.10 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $158.49 Median $158.49 Typical High $436.52 | Professional | None (both parts) | $158.49 | $158.49 | $436.52 |
United Setting Facility Modifier None Typical Low $1,380.38 Median $4,677.35 Typical High $14,454.40 | Facility | None | $1,380.38 | $4,677.35 | $14,454.40 |
United Setting Professional Modifier None (both parts) Typical Low $144.54 Median $218.78 Typical High $446.68 | Professional | None (both parts) | $144.54 | $218.78 | $446.68 |
United Setting Professional Modifier 26 · Professional part Typical Low $144.54 Median $218.78 Typical High $446.68 | Professional | 26 · Professional part | $144.54 | $218.78 | $446.68 |
Univera Setting Facility Modifier None Typical Low $186.21 Median $186.21 Typical High $245.47 | Facility | None | $186.21 | $186.21 | $245.47 |
Univera Setting Facility Modifier 26 · Professional part Typical Low $123.03 Median $186.21 Typical High $346.74 | Facility | 26 · Professional part | $123.03 | $186.21 | $346.74 |
Univera Setting Professional Modifier None (both parts) Typical Low $125.89 Median $181.97 Typical High $275.42 | Professional | None (both parts) | $125.89 | $181.97 | $275.42 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $123.03 Median $165.96 Typical High $263.03 | Professional | 26 · Professional part | $123.03 | $165.96 | $263.03 |
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 $104.71 Median $112.20 Typical High $112.20 | Professional | 52 · Reduced service | $104.71 | $112.20 | $112.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $42.66 Median $44.67 Typical High $44.67 | Professional | 53 · Discontinued | $42.66 | $44.67 | $44.67 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $158.49 Median $169.82 Typical High $169.82 | Professional | 54 · Surgery only | $158.49 | $169.82 | $169.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $31.62 Median $33.88 Typical High $33.88 | Professional | 55 · Aftercare only | $31.62 | $33.88 | $33.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $20.89 Median $22.39 Typical High $22.39 | Professional | 56 · Pre-op care only | $20.89 | $22.39 | $22.39 |
Where New York sits
The same service costs 28.8 times more in Colorado 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.
New York· 30th of 51
$724
CO $7,079KY $245
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.