How much rates vary
Facilitymedian $1,905 · 10th to 90th $1,862 to $3,311Professionalmedian $1,905 · 10th to 90th $1,862 to $3,802
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 $1,862.09 Median $2,398.83 Typical High $5,370.32 | Facility | None | $1,862.09 | $2,398.83 | $5,370.32 |
Aetna Setting Professional Modifier None Typical Low $1,905.46 Median $1,905.46 Typical High $1,905.46 | Professional | None | $1,905.46 | $1,905.46 | $1,905.46 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,862.09 Median $1,862.09 Typical High $1,905.46 | Facility | None | $1,862.09 | $1,862.09 | $1,905.46 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,905.46 Median $1,905.46 Typical High $5,011.87 | Professional | None | $1,905.46 | $1,905.46 | $5,011.87 |
CDPHP Setting Professional Modifier None Typical Low $2,630.27 Median $2,630.27 Typical High $2,630.27 | Professional | None | $2,630.27 | $2,630.27 | $2,630.27 |
Cigna Setting Facility Modifier None Typical Low $2,089.30 Median $2,570.40 Typical High $3,090.30 | Facility | None | $2,089.30 | $2,570.40 | $3,090.30 |
Cigna Setting Professional Modifier None Typical Low $1,905.46 Median $1,905.46 Typical High $7,762.47 | Professional | None | $1,905.46 | $1,905.46 | $7,762.47 |
Emblem Health Setting Facility Modifier None Typical Low $1,819.70 Median $2,290.87 Typical High $4,265.80 | Facility | None | $1,819.70 | $2,290.87 | $4,265.80 |
Emblem Health Setting Professional Modifier None Typical Low $2,089.30 Median $2,089.30 Typical High $4,073.80 | Professional | None | $2,089.30 | $2,089.30 | $4,073.80 |
Excellus BCBS Setting Facility Modifier None Typical Low $1,862.09 Median $1,862.09 Typical High $1,905.46 | Facility | None | $1,862.09 | $1,862.09 | $1,905.46 |
Excellus BCBS Setting Professional Modifier None Typical Low $1,862.09 Median $1,862.09 Typical High $1,905.46 | Professional | None | $1,862.09 | $1,862.09 | $1,905.46 |
MVP Health Care Setting Facility Modifier None Typical Low $2,398.83 Median $2,398.83 Typical High $7,079.46 | Facility | None | $2,398.83 | $2,398.83 | $7,079.46 |
MVP Health Care Setting Professional Modifier None Typical Low $2,238.72 Median $2,238.72 Typical High $3,235.94 | Professional | None | $2,238.72 | $2,238.72 | $3,235.94 |
United Setting Facility Modifier None Typical Low $1,905.46 Median $1,905.46 Typical High $1,905.46 | Facility | None | $1,905.46 | $1,905.46 | $1,905.46 |
United Setting Professional Modifier None Typical Low $1,862.09 Median $1,949.84 Typical High $3,467.37 | Professional | None | $1,862.09 | $1,949.84 | $3,467.37 |
Univera Setting Facility Modifier None Typical Low $1,862.09 Median $1,862.09 Typical High $2,187.76 | Facility | None | $1,862.09 | $1,862.09 | $2,187.76 |
Univera Setting Professional Modifier None Typical Low $1,862.09 Median $1,862.09 Typical High $2,238.72 | Professional | None | $1,862.09 | $1,862.09 | $2,238.72 |
4 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 $954.99 Median $954.99 Typical High $954.99 | Professional | 52 · Reduced service | $954.99 | $954.99 | $954.99 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $380.19 Median $380.19 Typical High $380.19 | Professional | 53 · Discontinued | $380.19 | $380.19 | $380.19 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $288.40 Median $288.40 Typical High $288.40 | Professional | 55 · Aftercare only | $288.40 | $288.40 | $288.40 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $190.55 Median $190.55 Typical High $190.55 | Professional | 56 · Pre-op care only | $190.55 | $190.55 | $190.55 |
Where New York sits
The same service costs 2.3 times more in Texas 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· 32nd of 51
$1,905
TX $4,266MD $1,862
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.