How much rates vary
Facilitymedian $661 · 10th to 90th $562 to $977Professionalmedian $562 · 10th to 90th $562 to $871
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 $562.34 Median $676.08 Typical High $1,905.46 | Facility | None | $562.34 | $676.08 | $1,905.46 |
Aetna Setting Professional Modifier None Typical Low $562.34 Median $562.34 Typical High $794.33 | Professional | None | $562.34 | $562.34 | $794.33 |
Anthem BCBS Setting Facility Modifier None Typical Low $660.69 Median $660.69 Typical High $676.08 | Facility | None | $660.69 | $660.69 | $676.08 |
Anthem BCBS Setting Professional Modifier None Typical Low $40.74 Median $562.34 Typical High $562.34 | Professional | None | $40.74 | $562.34 | $562.34 |
CDPHP Setting Professional Modifier None Typical Low $794.33 Median $794.33 Typical High $794.33 | Professional | None | $794.33 | $794.33 | $794.33 |
Cigna Setting Facility Modifier None Typical Low $616.60 Median $758.58 Typical High $891.25 | Facility | None | $616.60 | $758.58 | $891.25 |
Cigna Setting Professional Modifier None Typical Low $562.34 Median $562.34 Typical High $2,754.23 | Professional | None | $562.34 | $562.34 | $2,754.23 |
Emblem Health Setting Facility Modifier None Typical Low $537.03 Median $645.65 Typical High $1,905.46 | Facility | None | $537.03 | $645.65 | $1,905.46 |
Emblem Health Setting Professional Modifier None Typical Low $562.34 Median $562.34 Typical High $1,905.46 | Professional | None | $562.34 | $562.34 | $1,905.46 |
Excellus BCBS Setting Facility Modifier None Typical Low $660.69 Median $660.69 Typical High $660.69 | Facility | None | $660.69 | $660.69 | $660.69 |
Excellus BCBS Setting Professional Modifier None Typical Low $660.69 Median $660.69 Typical High $660.69 | Professional | None | $660.69 | $660.69 | $660.69 |
MVP Health Care Setting Facility Modifier None Typical Low $676.08 Median $676.08 Typical High $3,311.31 | Facility | None | $676.08 | $676.08 | $3,311.31 |
MVP Health Care Setting Professional Modifier None Typical Low $758.58 Median $870.96 Typical High $1,122.02 | Professional | None | $758.58 | $870.96 | $1,122.02 |
United Setting Facility Modifier None Typical Low $562.34 Median $562.34 Typical High $562.34 | Facility | None | $562.34 | $562.34 | $562.34 |
United Setting Professional Modifier None Typical Low $660.69 Median $691.83 Typical High $1,513.56 | Professional | None | $660.69 | $691.83 | $1,513.56 |
Univera Setting Facility Modifier None Typical Low $660.69 Median $660.69 Typical High $724.44 | Facility | None | $660.69 | $660.69 | $724.44 |
Univera Setting Professional Modifier None Typical Low $660.69 Median $660.69 Typical High $794.33 | Professional | None | $660.69 | $660.69 | $794.33 |
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 $281.84 Median $281.84 Typical High $281.84 | Professional | 52 · Reduced service | $281.84 | $281.84 | $281.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $112.20 Median $112.20 Typical High $112.20 | Professional | 53 · Discontinued | $112.20 | $112.20 | $112.20 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $85.11 Median $85.11 Typical High $85.11 | Professional | 55 · Aftercare only | $85.11 | $85.11 | $85.11 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $56.23 Median $56.23 Typical High $56.23 | Professional | 56 · Pre-op care only | $56.23 | $56.23 | $56.23 |
Where New York sits
The same service costs 2.7 times more in Wyoming than in Georgia. 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· 46th of 51
$617
WY $1,514GA $562
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.