How much rates vary
Facilitymedian $562,341 · 10th to 90th $562,341 to $1,174,898Professionalmedian $575,440 · 10th to 90th $489,779 to $575,440
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 $562,341.33 Median $724,435.96 Typical High $1,621,810.10 | Facility | None | $562,341.33 | $724,435.96 | $1,621,810.10 |
Aetna Setting Professional Modifier None Typical Low $575,439.94 Median $575,439.94 Typical High $575,439.94 | Professional | None | $575,439.94 | $575,439.94 | $575,439.94 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $288,403.15 Median $288,403.15 Typical High $288,403.15 | Professional | 52 · Reduced service | $288,403.15 | $288,403.15 | $288,403.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $114,815.36 Median $114,815.36 Typical High $114,815.36 | Professional | 53 · Discontinued | $114,815.36 | $114,815.36 | $114,815.36 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $87,096.36 Median $87,096.36 Typical High $87,096.36 | Professional | 55 · Aftercare only | $87,096.36 | $87,096.36 | $87,096.36 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $57,543.99 Median $57,543.99 Typical High $57,543.99 | Professional | 56 · Pre-op care only | $57,543.99 | $57,543.99 | $57,543.99 |
Anthem BCBS Setting Professional Modifier None Typical Low $575,439.94 Median $575,439.94 Typical High $575,439.94 | Professional | None | $575,439.94 | $575,439.94 | $575,439.94 |
Cigna Setting Professional Modifier None Typical Low $549,540.87 Median $549,540.87 Typical High $602,559.59 | Professional | None | $549,540.87 | $549,540.87 | $602,559.59 |
Emblem Health Setting Facility Modifier None Typical Low $549,540.87 Median $660,693.45 Typical High $1,862,087.14 | Facility | None | $549,540.87 | $660,693.45 | $1,862,087.14 |
Emblem Health Setting Professional Modifier None Typical Low $489,778.82 Median $575,439.94 Typical High $575,439.94 | Professional | None | $489,778.82 | $575,439.94 | $575,439.94 |
Excellus BCBS Setting Facility Modifier None Typical Low $562,341.33 Median $562,341.33 Typical High $562,341.33 | Facility | None | $562,341.33 | $562,341.33 | $562,341.33 |
Excellus BCBS Setting Professional Modifier None Typical Low $562,341.33 Median $562,341.33 Typical High $562,341.33 | Professional | None | $562,341.33 | $562,341.33 | $562,341.33 |
Highmark BCBS Setting Facility Modifier None Typical Low $537,031.80 Median $537,031.80 Typical High $537,031.80 | Facility | None | $537,031.80 | $537,031.80 | $537,031.80 |
MVP Health Care Setting Facility Modifier None Typical Low $691,830.97 Median $691,830.97 Typical High $1,174,897.55 | Facility | None | $691,830.97 | $691,830.97 | $1,174,897.55 |
MVP Health Care Setting Professional Modifier None Typical Low $549,540.87 Median $660,693.45 Typical High $660,693.45 | Professional | None | $549,540.87 | $660,693.45 | $660,693.45 |
United Setting Facility Modifier None Typical Low $575,439.94 Median $575,439.94 Typical High $575,439.94 | Facility | None | $575,439.94 | $575,439.94 | $575,439.94 |
United Setting Professional Modifier None Typical Low $524,807.46 Median $588,843.66 Typical High $776,247.12 | Professional | None | $524,807.46 | $588,843.66 | $776,247.12 |
Univera Setting Facility Modifier None Typical Low $562,341.33 Median $562,341.33 Typical High $588,843.66 | Facility | None | $562,341.33 | $562,341.33 | $588,843.66 |
Univera Setting Professional Modifier None Typical Low $562,341.33 Median $562,341.33 Typical High $562,341.33 | Professional | None | $562,341.33 | $562,341.33 | $562,341.33 |
Where New York sits
The same service costs 1.7 times more in Texas than in Minnesota. 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
$575,440
TX $977,237MN $562,341
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.