How much rates vary
Facilitymedian $398 · 10th to 90th $389 to $692Professionalmedian $398 · 10th to 90th $339 to $468
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 $389.05 Median $398.11 Typical High $1,148.15 | Facility | None | $389.05 | $398.11 | $1,148.15 |
Aetna Setting Professional Modifier None Typical Low $398.11 Median $398.11 Typical High $398.11 | Professional | None | $398.11 | $398.11 | $398.11 |
Anthem BCBS Setting Facility Modifier None Typical Low $389.05 Median $389.05 Typical High $407.38 | Facility | None | $389.05 | $389.05 | $407.38 |
Anthem BCBS Setting Professional Modifier None Typical Low $338.84 Median $398.11 Typical High $398.11 | Professional | None | $338.84 | $398.11 | $398.11 |
CDPHP Setting Professional Modifier None Typical Low $338.84 Median $338.84 Typical High $338.84 | Professional | None | $338.84 | $338.84 | $338.84 |
Cigna Setting Facility Modifier None Typical Low $346.74 Median $524.81 Typical High $602.56 | Facility | None | $346.74 | $524.81 | $602.56 |
Cigna Setting Professional Modifier None Typical Low $398.11 Median $398.11 Typical High $1,659.59 | Professional | None | $398.11 | $398.11 | $1,659.59 |
Emblem Health Setting Facility Modifier None Typical Low $380.19 Median $478.63 Typical High $891.25 | Facility | None | $380.19 | $478.63 | $891.25 |
Emblem Health Setting Professional Modifier None Typical Low $436.52 Median $436.52 Typical High $489.78 | Professional | None | $436.52 | $436.52 | $489.78 |
Excellus BCBS Setting Facility Modifier None Typical Low $389.05 Median $389.05 Typical High $407.38 | Facility | None | $389.05 | $389.05 | $407.38 |
Excellus BCBS Setting Professional Modifier None Typical Low $389.05 Median $389.05 Typical High $407.38 | Professional | None | $389.05 | $389.05 | $407.38 |
Highmark BCBS Setting Facility Modifier None Typical Low $489.78 Median $489.78 Typical High $489.78 | Facility | None | $489.78 | $489.78 | $489.78 |
MVP Health Care Setting Facility Modifier None Typical Low $501.19 Median $501.19 Typical High $831.76 | Facility | None | $501.19 | $501.19 | $831.76 |
MVP Health Care Setting Professional Modifier None Typical Low $30.90 Median $275.42 Typical High $489.78 | Professional | None | $30.90 | $275.42 | $489.78 |
United Setting Facility Modifier None Typical Low $398.11 Median $398.11 Typical High $398.11 | Facility | None | $398.11 | $398.11 | $398.11 |
United Setting Professional Modifier None Typical Low $371.54 Median $416.87 Typical High $537.03 | Professional | None | $371.54 | $416.87 | $537.03 |
Univera Setting Facility Modifier None Typical Low $389.05 Median $389.05 Typical High $407.38 | Facility | None | $389.05 | $389.05 | $407.38 |
Univera Setting Professional Modifier None Typical Low $120.23 Median $389.05 Typical High $407.38 | Professional | None | $120.23 | $389.05 | $407.38 |
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 $199.53 Median $199.53 Typical High $199.53 | Professional | 52 · Reduced service | $199.53 | $199.53 | $199.53 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $79.43 Median $79.43 Typical High $79.43 | Professional | 53 · Discontinued | $79.43 | $79.43 | $79.43 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | 55 · Aftercare only | $60.26 | $60.26 | $60.26 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $39.81 Median $39.81 Typical High $39.81 | Professional | 56 · Pre-op care only | $39.81 | $39.81 | $39.81 |
Where New York sits
The same service costs 2.8 times more in Arizona than in Alabama. 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· 34th of 51
$398
AZ $646AL $234
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.