How much rates vary
Facilitymedian $3,162 · 10th to 90th $501 to $43,652Professionalmedian $537 · 10th to 90th $437 to $1,096
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 $1,819.70 Median $6,918.31 Typical High $31,622.78 | Facility | None | $1,819.70 | $6,918.31 | $31,622.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $489.78 Median $489.78 Typical High $602.56 | Professional | None (both parts) | $489.78 | $489.78 | $602.56 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $371.54 Median $371.54 Typical High $457.09 | Professional | 26 · Professional part | $371.54 | $371.54 | $457.09 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $125.89 Typical High $151.36 | Professional | TC · Technical part | $125.89 | $125.89 | $151.36 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,258.93 Median $4,677.35 Typical High $60,255.96 | Facility | None | $1,258.93 | $4,677.35 | $60,255.96 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $416.87 Median $501.19 Typical High $562.34 | Professional | None (both parts) | $416.87 | $501.19 | $562.34 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $316.23 Median $380.19 Typical High $707.95 | Professional | 26 · Professional part | $316.23 | $380.19 | $707.95 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $125.89 Typical High $154.88 | Professional | TC · Technical part | $107.15 | $125.89 | $154.88 |
CDPHP Setting Facility Modifier None Typical Low $4,265.80 Median $9,332.54 Typical High $28,183.83 | Facility | None | $4,265.80 | $9,332.54 | $28,183.83 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $181.97 Median $549.54 Typical High $741.31 | Professional | None (both parts) | $181.97 | $549.54 | $741.31 |
Cigna Setting Facility Modifier None Typical Low $870.96 Median $21,877.62 Typical High $50,118.72 | Facility | None | $870.96 | $21,877.62 | $50,118.72 |
Cigna Setting Professional Modifier None (both parts) Typical Low $549.54 Median $588.84 Typical High $1,737.80 | Professional | None (both parts) | $549.54 | $588.84 | $1,737.80 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $416.87 Median $436.52 Typical High $1,288.25 | Professional | 26 · Professional part | $416.87 | $436.52 | $1,288.25 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $154.88 Typical High $457.09 | Professional | TC · Technical part | $141.25 | $154.88 | $457.09 |
Emblem Health Setting Facility Modifier None Typical Low $223.87 Median $346.74 Typical High $1,071.52 | Facility | None | $223.87 | $346.74 | $1,071.52 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $741.31 Median $851.14 Typical High $1,479.11 | Professional | None (both parts) | $741.31 | $851.14 | $1,479.11 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $446.68 Median $645.65 Typical High $1,096.48 | Professional | None (both parts) | $446.68 | $645.65 | $1,096.48 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $257.04 Median $380.19 Typical High $630.96 | Professional | 26 · Professional part | $257.04 | $380.19 | $630.96 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $269.15 Typical High $478.63 | Professional | TC · Technical part | $194.98 | $269.15 | $478.63 |
MVP Health Care Setting Facility Modifier None Typical Low $426.58 Median $15,848.93 Typical High $47,863.01 | Facility | None | $426.58 | $15,848.93 | $47,863.01 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $933.25 Median $1,096.48 Typical High $1,096.48 | Professional | None (both parts) | $933.25 | $1,096.48 | $1,096.48 |
United Setting Facility Modifier None Typical Low $363.08 Median $1,318.26 Typical High $5,128.61 | Facility | None | $363.08 | $1,318.26 | $5,128.61 |
United Setting Professional Modifier None (both parts) Typical Low $549.54 Median $794.33 Typical High $1,737.80 | Professional | None (both parts) | $549.54 | $794.33 | $1,737.80 |
United Setting Professional Modifier 26 · Professional part Typical Low $331.13 Median $489.78 Typical High $1,047.13 | Professional | 26 · Professional part | $331.13 | $489.78 | $1,047.13 |
United Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $309.03 Typical High $676.08 | Professional | TC · Technical part | $218.78 | $309.03 | $676.08 |
Univera Setting Facility Modifier None Typical Low $446.68 Median $512.86 Typical High $2,238.72 | Facility | None | $446.68 | $512.86 | $2,238.72 |
Univera Setting Facility Modifier 26 · Professional part Typical Low $257.04 Median $316.23 Typical High $1,905.46 | Facility | 26 · Professional part | $257.04 | $316.23 | $1,905.46 |
Univera Setting Facility Modifier TC · Technical part Typical Low $194.98 Median $199.53 Typical High $891.25 | Facility | TC · Technical part | $194.98 | $199.53 | $891.25 |
Univera Setting Professional Modifier None (both parts) Typical Low $446.68 Median $645.65 Typical High $1,122.02 | Professional | None (both parts) | $446.68 | $645.65 | $1,122.02 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $257.04 Median $380.19 Typical High $630.96 | Professional | 26 · Professional part | $257.04 | $380.19 | $630.96 |
Univera Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $269.15 Typical High $489.78 | Professional | TC · Technical part | $194.98 | $269.15 | $489.78 |
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 $245.47 Median $245.47 Typical High $302.00 | Professional | 52 · Reduced service | $245.47 | $245.47 | $302.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $97.72 Median $97.72 Typical High $120.23 | Professional | 53 · Discontinued | $97.72 | $97.72 | $120.23 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $371.54 Median $371.54 Typical High $457.09 | Professional | 54 · Surgery only | $371.54 | $371.54 | $457.09 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $74.13 Median $74.13 Typical High $91.20 | Professional | 55 · Aftercare only | $74.13 | $74.13 | $91.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $48.98 Median $48.98 Typical High $60.26 | Professional | 56 · Pre-op care only | $48.98 | $48.98 | $60.26 |
Where New York sits
The same service costs 5.6 times more in Nebraska 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· 50th of 51
$550
NE $2,818MD $501
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.