How much rates vary
Facilitymedian $7,413 · 10th to 90th $1,514 to $26,303Professionalmedian $1,778 · 10th to 90th $407 to $2,138
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 $1,513.56 Median $9,332.54 Typical High $20,892.96 | Professional | None (both parts) | $1,513.56 | $9,332.54 | $20,892.96 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $281.84 Median $281.84 Typical High $512.86 | Professional | 26 · Professional part | $281.84 | $281.84 | $512.86 |
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 $1,584.89 Median $1,862.09 Typical High $2,398.83 | Professional | None (both parts) | $1,584.89 | $1,862.09 | $2,398.83 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $416.87 Median $501.19 Typical High $2,187.76 | Professional | 26 · Professional part | $416.87 | $501.19 | $2,187.76 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $1,202.26 Median $1,445.44 Typical High $1,778.28 | Professional | TC · Technical part | $1,202.26 | $1,445.44 | $1,778.28 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $467.74 Median $467.74 Typical High $467.74 | Professional | None (both parts) | $467.74 | $467.74 | $467.74 |
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 $1,513.56 Median $3,019.95 Typical High $6,456.54 | Professional | None (both parts) | $1,513.56 | $3,019.95 | $6,456.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $309.03 Median $338.84 Typical High $977.24 | Professional | 26 · Professional part | $309.03 | $338.84 | $977.24 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $1,148.15 Median $2,290.87 Typical High $5,011.87 | Professional | TC · Technical part | $1,148.15 | $2,290.87 | $5,011.87 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $323.59 Median $371.54 Typical High $602.56 | Professional | 26 · Professional part | $323.59 | $371.54 | $602.56 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $1,047.13 Median $1,230.27 Typical High $1,819.70 | Professional | None (both parts) | $1,047.13 | $1,230.27 | $1,819.70 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $218.78 Median $281.84 Typical High $446.68 | Professional | 26 · Professional part | $218.78 | $281.84 | $446.68 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $776.25 Median $912.01 Typical High $1,348.96 | Professional | TC · Technical part | $776.25 | $912.01 | $1,348.96 |
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 $275.42 Median $275.42 Typical High $758.58 | Professional | None (both parts) | $275.42 | $275.42 | $758.58 |
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 $331.13 Median $588.84 Typical High $1,479.11 | Professional | None (both parts) | $331.13 | $588.84 | $1,479.11 |
United Setting Professional Modifier 26 · Professional part Typical Low $245.47 Median $380.19 Typical High $776.25 | Professional | 26 · Professional part | $245.47 | $380.19 | $776.25 |
United Setting Professional Modifier TC · Technical part Typical Low $676.08 Median $977.24 Typical High $1,621.81 | Professional | TC · Technical part | $676.08 | $977.24 | $1,621.81 |
Univera Setting Facility Modifier None Typical Low $1,230.27 Median $1,230.27 Typical High $1,621.81 | Facility | None | $1,230.27 | $1,230.27 | $1,621.81 |
Univera Setting Facility Modifier 26 · Professional part Typical Low $213.80 Median $316.23 Typical High $588.84 | Facility | 26 · Professional part | $213.80 | $316.23 | $588.84 |
Univera Setting Professional Modifier None (both parts) Typical Low $851.14 Median $1,230.27 Typical High $1,819.70 | Professional | None (both parts) | $851.14 | $1,230.27 | $1,819.70 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $213.80 Median $281.84 Typical High $446.68 | Professional | 26 · Professional part | $213.80 | $281.84 | $446.68 |
Univera Setting Professional Modifier TC · Technical part Typical Low $630.96 Median $912.01 Typical High $1,348.96 | Professional | TC · Technical part | $630.96 | $912.01 | $1,348.96 |
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 $190.55 Median $190.55 Typical High $645.65 | Professional | 52 · Reduced service | $190.55 | $190.55 | $645.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $77.62 Median $77.62 Typical High $257.04 | Professional | 53 · Discontinued | $77.62 | $77.62 | $257.04 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $288.40 Median $288.40 Typical High $954.99 | Professional | 54 · Surgery only | $288.40 | $288.40 | $954.99 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $57.54 Median $57.54 Typical High $194.98 | Professional | 55 · Aftercare only | $57.54 | $57.54 | $194.98 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $38.90 Median $38.90 Typical High $128.82 | Professional | 56 · Pre-op care only | $38.90 | $38.90 | $128.82 |
Where New York sits
The same service costs 14.5 times more in California than in Maine. 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· 26th of 51
$1,862
CA $8,128ME $562
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.