How much rates vary
Facilitymedian $7,413 · 10th to 90th $1,479 to $26,303Professionalmedian $676 · 10th to 90th $257 to $851
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 $257.04 Median $257.04 Typical High $354.81 | Professional | 26 · Professional part | $257.04 | $257.04 | $354.81 |
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 $426.58 Median $426.58 Typical High $426.58 | Professional | None (both parts) | $426.58 | $426.58 | $426.58 |
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 $1,380.38 Median $1,380.38 Typical High $1,380.38 | Professional | None (both parts) | $1,380.38 | $1,380.38 | $1,380.38 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $288.40 Median $309.03 Typical High $870.96 | Professional | 26 · Professional part | $288.40 | $309.03 | $870.96 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $288.40 Median $338.84 Typical High $588.84 | Professional | 26 · Professional part | $288.40 | $338.84 | $588.84 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $234.42 Median $275.42 Typical High $436.52 | Professional | None (both parts) | $234.42 | $275.42 | $436.52 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $194.98 Median $275.42 Typical High $416.87 | Professional | 26 · Professional part | $194.98 | $275.42 | $416.87 |
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 $257.04 Median $257.04 Typical High $691.83 | Professional | None (both parts) | $257.04 | $257.04 | $691.83 |
United Setting Facility Modifier None Typical Low $1,318.26 Median $3,548.13 Typical High $11,220.18 | Facility | None | $1,318.26 | $3,548.13 | $11,220.18 |
United Setting Professional Modifier None (both parts) Typical Low $223.87 Median $346.74 Typical High $724.44 | Professional | None (both parts) | $223.87 | $346.74 | $724.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $223.87 Median $346.74 Typical High $724.44 | Professional | 26 · Professional part | $223.87 | $346.74 | $724.44 |
Univera Setting Facility Modifier None Typical Low $281.84 Median $281.84 Typical High $380.19 | Facility | None | $281.84 | $281.84 | $380.19 |
Univera Setting Facility Modifier 26 · Professional part Typical Low $194.98 Median $281.84 Typical High $537.03 | Facility | 26 · Professional part | $194.98 | $281.84 | $537.03 |
Univera Setting Professional Modifier None (both parts) Typical Low $194.98 Median $275.42 Typical High $416.87 | Professional | None (both parts) | $194.98 | $275.42 | $416.87 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $194.98 Median $251.19 Typical High $416.87 | Professional | 26 · Professional part | $194.98 | $251.19 | $416.87 |
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 $165.96 Median $177.83 Typical High $177.83 | Professional | 52 · Reduced service | $165.96 | $177.83 | $177.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $66.07 Median $70.79 Typical High $70.79 | Professional | 53 · Discontinued | $66.07 | $70.79 | $70.79 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $251.19 Median $263.03 Typical High $263.03 | Professional | 54 · Surgery only | $251.19 | $263.03 | $263.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $50.12 Median $52.48 Typical High $52.48 | Professional | 55 · Aftercare only | $50.12 | $52.48 | $52.48 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $33.11 Median $35.48 Typical High $35.48 | Professional | 56 · Pre-op care only | $33.11 | $35.48 | $35.48 |
Where New York sits
The same service costs 23.4 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· 32nd of 51
$724
CO $6,761KY $288
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.