How much rates vary
Facilitymedian $1,349 · 10th to 90th $1,259 to $1,622Professionalmedian $1,259 · 10th to 90th $1,072 to $1,622
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 $1,047.13 Median $1,288.25 Typical High $3,019.95 | Facility | None | $1,047.13 | $1,288.25 | $3,019.95 |
Aetna Setting Professional Modifier None Typical Low $1,047.13 Median $1,047.13 Typical High $1,202.26 | Professional | None | $1,047.13 | $1,047.13 | $1,202.26 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $1,318.26 | Facility | None | $1,288.25 | $1,288.25 | $1,318.26 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,122.02 Median $1,258.93 Typical High $1,258.93 | Professional | None | $1,122.02 | $1,258.93 | $1,258.93 |
CDPHP Setting Professional Modifier None Typical Low $1,071.52 Median $1,071.52 Typical High $1,071.52 | Professional | None | $1,071.52 | $1,071.52 | $1,071.52 |
Cigna Setting Facility Modifier None Typical Low $1,148.15 Median $1,148.15 Typical High $1,949.84 | Facility | None | $1,148.15 | $1,148.15 | $1,949.84 |
Cigna Setting Professional Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $6,760.83 | Professional | None | $1,288.25 | $1,288.25 | $6,760.83 |
Emblem Health Setting Facility Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $2,089.30 | Facility | None | $1,288.25 | $1,288.25 | $2,089.30 |
Emblem Health Setting Professional Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $1,584.89 | Professional | None | $1,288.25 | $1,288.25 | $1,584.89 |
Excellus BCBS Setting Facility Modifier None Typical Low $1,258.93 Median $1,348.96 Typical High $1,348.96 | Facility | None | $1,258.93 | $1,348.96 | $1,348.96 |
Excellus BCBS Setting Professional Modifier None Typical Low $1,258.93 Median $1,348.96 Typical High $1,348.96 | Professional | None | $1,258.93 | $1,348.96 | $1,348.96 |
MVP Health Care Setting Facility Modifier None Typical Low $2,691.53 Median $2,691.53 Typical High $2,691.53 | Facility | None | $2,691.53 | $2,691.53 | $2,691.53 |
United Setting Facility Modifier None Typical Low $1,318.26 Median $1,318.26 Typical High $1,318.26 | Facility | None | $1,318.26 | $1,318.26 | $1,318.26 |
United Setting Professional Modifier None Typical Low $1,380.38 Median $1,513.56 Typical High $2,089.30 | Professional | None | $1,380.38 | $1,513.56 | $2,089.30 |
Univera Setting Facility Modifier None Typical Low $1,258.93 Median $1,348.96 Typical High $1,348.96 | Facility | None | $1,258.93 | $1,348.96 | $1,348.96 |
Univera Setting Professional Modifier None Typical Low $1,258.93 Median $1,348.96 Typical High $1,348.96 | Professional | None | $1,258.93 | $1,348.96 | $1,348.96 |
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 $524.81 Median $524.81 Typical High $602.56 | Professional | 52 · Reduced service | $524.81 | $524.81 | $602.56 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $208.93 Median $208.93 Typical High $245.47 | Professional | 53 · Discontinued | $208.93 | $208.93 | $245.47 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $158.49 Median $158.49 Typical High $181.97 | Professional | 55 · Aftercare only | $158.49 | $158.49 | $181.97 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $104.71 Median $104.71 Typical High $120.23 | Professional | 56 · Pre-op care only | $104.71 | $104.71 | $120.23 |
Where New York sits
The same service costs 1.8 times more in Alaska than in Hawaii. 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· 49th of 51
$1,259
AK $2,042HI $1,148
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.