How much rates vary
Facilitymedian $3,020 · 10th to 90th $437 to $5,623Professionalmedian $182 · 10th to 90th $105 to $372
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 $1,318.26 Median $4,265.80 Typical High $8,128.31 | Facility | None | $1,318.26 | $4,265.80 | $8,128.31 |
Aetna Setting Professional Modifier None Typical Low $104.71 Median $208.93 Typical High $331.13 | Professional | None | $104.71 | $208.93 | $331.13 |
Anthem BCBS Setting Facility Modifier None Typical Low $933.25 Median $3,162.28 Typical High $4,897.79 | Facility | None | $933.25 | $3,162.28 | $4,897.79 |
Anthem BCBS Setting Professional Modifier None Typical Low $151.36 Median $181.97 Typical High $416.87 | Professional | None | $151.36 | $181.97 | $416.87 |
CDPHP Setting Professional Modifier None Typical Low $165.96 Median $165.96 Typical High $338.84 | Professional | None | $165.96 | $165.96 | $338.84 |
Cigna Setting Facility Modifier None Typical Low $123.03 Median $128.82 Typical High $295.12 | Facility | None | $123.03 | $128.82 | $295.12 |
Cigna Setting Professional Modifier None Typical Low $69.18 Median $147.91 Typical High $398.11 | Professional | None | $69.18 | $147.91 | $398.11 |
Emblem Health Setting Facility Modifier None Typical Low $83.18 Median $104.71 Typical High $288.40 | Facility | None | $83.18 | $104.71 | $288.40 |
Emblem Health Setting Professional Modifier None Typical Low $208.93 Median $208.93 Typical High $354.81 | Professional | None | $208.93 | $208.93 | $354.81 |
Excellus BCBS Setting Professional Modifier None Typical Low $144.54 Median $169.82 Typical High $218.78 | Professional | None | $144.54 | $169.82 | $218.78 |
Highmark BCBS Setting Professional Modifier None Typical Low $190.55 Median $190.55 Typical High $190.55 | Professional | None | $190.55 | $190.55 | $190.55 |
MVP Health Care Setting Facility Modifier None Typical Low $138.04 Median $138.04 Typical High $138.04 | Facility | None | $138.04 | $138.04 | $138.04 |
MVP Health Care Setting Professional Modifier None Typical Low $199.53 Median $199.53 Typical High $354.81 | Professional | None | $199.53 | $199.53 | $354.81 |
United Setting Facility Modifier None Typical Low $812.83 Median $954.99 Typical High $1,174.90 | Facility | None | $812.83 | $954.99 | $1,174.90 |
United Setting Professional Modifier None Typical Low $69.18 Median $158.49 Typical High $323.59 | Professional | None | $69.18 | $158.49 | $323.59 |
Univera Setting Facility Modifier None Typical Low $89.13 Median $199.53 Typical High $724.44 | Facility | None | $89.13 | $199.53 | $724.44 |
Univera Setting Professional Modifier None Typical Low $144.54 Median $169.82 Typical High $229.09 | Professional | None | $144.54 | $169.82 | $229.09 |
6 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 $52.48 Median $104.71 Typical High $125.89 | Professional | 52 · Reduced service | $52.48 | $104.71 | $125.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $41.69 Typical High $50.12 | Professional | 53 · Discontinued | $20.89 | $41.69 | $50.12 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $79.43 Median $154.88 Typical High $190.55 | Professional | 54 · Surgery only | $79.43 | $154.88 | $190.55 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $15.85 Median $30.90 Typical High $38.02 | Professional | 55 · Aftercare only | $15.85 | $30.90 | $38.02 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.47 Median $20.89 Typical High $25.12 | Professional | 56 · Pre-op care only | $10.47 | $20.89 | $25.12 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $125.89 Median $147.91 Typical High $173.78 | Professional | 53 · Discontinued | $125.89 | $147.91 | $173.78 |
Where New York sits
The same service costs 3.4 times more in Alaska 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· 44th of 51
$182
AK $468MD $138
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.