How much rates vary
Facilitymedian $7,413 · 10th to 90th $1,479 to $26,303Professionalmedian $1,413 · 10th to 90th $229 to $1,778
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 $234.42 Median $234.42 Typical High $316.23 | Professional | 26 · Professional part | $234.42 | $234.42 | $316.23 |
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 $1,318.26 Median $1,548.82 Typical High $1,995.26 | Professional | None (both parts) | $1,318.26 | $1,548.82 | $1,995.26 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $338.84 Median $407.38 Typical High $1,819.70 | Professional | 26 · Professional part | $338.84 | $407.38 | $1,819.70 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $1,000.00 Median $1,202.26 Typical High $1,479.11 | Professional | TC · Technical part | $1,000.00 | $1,202.26 | $1,479.11 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $380.19 Median $380.19 Typical High $380.19 | Professional | None (both parts) | $380.19 | $380.19 | $380.19 |
Cigna Setting Facility Modifier None Typical Low $10,232.93 Median $33,884.42 Typical High $42,657.95 | Facility | None | $10,232.93 | $33,884.42 | $42,657.95 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,230.27 Median $1,230.27 Typical High $1,230.27 | Professional | None (both parts) | $1,230.27 | $1,230.27 | $1,230.27 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $263.03 Median $281.84 Typical High $776.25 | Professional | 26 · Professional part | $263.03 | $281.84 | $776.25 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $257.04 Median $295.12 Typical High $524.81 | Professional | 26 · Professional part | $257.04 | $295.12 | $524.81 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $204.17 Median $239.88 Typical High $389.05 | Professional | None (both parts) | $204.17 | $239.88 | $389.05 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $177.83 Median $245.47 Typical High $371.54 | Professional | 26 · Professional part | $177.83 | $245.47 | $371.54 |
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 $229.09 Median $229.09 Typical High $616.60 | Professional | None (both parts) | $229.09 | $229.09 | $616.60 |
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 $199.53 Median $309.03 Typical High $645.65 | Professional | None (both parts) | $199.53 | $309.03 | $645.65 |
United Setting Professional Modifier 26 · Professional part Typical Low $199.53 Median $309.03 Typical High $645.65 | Professional | 26 · Professional part | $199.53 | $309.03 | $645.65 |
Univera Setting Facility Modifier None Typical Low $257.04 Median $257.04 Typical High $338.84 | Facility | None | $257.04 | $257.04 | $338.84 |
Univera Setting Facility Modifier 26 · Professional part Typical Low $177.83 Median $257.04 Typical High $489.78 | Facility | 26 · Professional part | $177.83 | $257.04 | $489.78 |
Univera Setting Professional Modifier None (both parts) Typical Low $173.78 Median $239.88 Typical High $363.08 | Professional | None (both parts) | $173.78 | $239.88 | $363.08 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $177.83 Median $223.87 Typical High $363.08 | Professional | 26 · Professional part | $177.83 | $223.87 | $363.08 |
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 $151.36 Median $158.49 Typical High $158.49 | Professional | 52 · Reduced service | $151.36 | $158.49 | $158.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $60.26 Median $63.10 Typical High $63.10 | Professional | 53 · Discontinued | $60.26 | $63.10 | $63.10 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $223.87 Median $239.88 Typical High $239.88 | Professional | 54 · Surgery only | $223.87 | $239.88 | $239.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $45.71 Median $47.86 Typical High $47.86 | Professional | 55 · Aftercare only | $45.71 | $47.86 | $47.86 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $30.20 Median $31.62 Typical High $31.62 | Professional | 56 · Pre-op care only | $30.20 | $31.62 | $31.62 |
Where New York sits
The same service costs 19.5 times more in Colorado 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.
New York· 24th of 51
$1,514
CO $6,761MD $347
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.