How much rates vary
Facilitymedian $2,138 · 10th to 90th $1,995 to $3,311Professionalmedian $2,089 · 10th to 90th $1,995 to $2,630
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 $2,089.30 Median $2,089.30 Typical High $5,754.40 | Facility | None | $2,089.30 | $2,089.30 | $5,754.40 |
Aetna Setting Professional Modifier None Typical Low $2,089.30 Median $2,089.30 Typical High $2,238.72 | Professional | None | $2,089.30 | $2,089.30 | $2,238.72 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,995.26 Median $1,995.26 Typical High $2,041.74 | Facility | None | $1,995.26 | $1,995.26 | $2,041.74 |
Anthem BCBS Setting Professional Modifier None Typical Low $2,089.30 Median $2,089.30 Typical High $3,235.94 | Professional | None | $2,089.30 | $2,089.30 | $3,235.94 |
CDPHP Setting Professional Modifier None Typical Low $1,778.28 Median $1,778.28 Typical High $1,778.28 | Professional | None | $1,778.28 | $1,778.28 | $1,778.28 |
Cigna Setting Facility Modifier None Typical Low $1,862.09 Median $2,630.27 Typical High $3,090.30 | Facility | None | $1,862.09 | $2,630.27 | $3,090.30 |
Cigna Setting Professional Modifier None Typical Low $2,089.30 Median $2,089.30 Typical High $8,511.38 | Professional | None | $2,089.30 | $2,089.30 | $8,511.38 |
Emblem Health Setting Facility Modifier None Typical Low $1,949.84 Median $2,398.83 Typical High $6,606.93 | Facility | None | $1,949.84 | $2,398.83 | $6,606.93 |
Emblem Health Setting Professional Modifier None Typical Low $1,778.28 Median $2,089.30 Typical High $2,344.23 | Professional | None | $1,778.28 | $2,089.30 | $2,344.23 |
Excellus BCBS Setting Facility Modifier None Typical Low $2,089.30 Median $2,137.96 Typical High $2,137.96 | Facility | None | $2,089.30 | $2,137.96 | $2,137.96 |
Excellus BCBS Setting Professional Modifier None Typical Low $1,995.26 Median $2,089.30 Typical High $2,137.96 | Professional | None | $1,995.26 | $2,089.30 | $2,137.96 |
Highmark BCBS Setting Facility Modifier None Typical Low $2,344.23 Median $2,344.23 Typical High $2,344.23 | Facility | None | $2,344.23 | $2,344.23 | $2,344.23 |
MVP Health Care Setting Facility Modifier None Typical Low $2,511.89 Median $2,511.89 Typical High $4,677.35 | Facility | None | $2,511.89 | $2,511.89 | $4,677.35 |
MVP Health Care Setting Professional Modifier None Typical Low $1,778.28 Median $1,778.28 Typical High $2,454.71 | Professional | None | $1,778.28 | $1,778.28 | $2,454.71 |
United Setting Facility Modifier None Typical Low $2,089.30 Median $2,089.30 Typical High $2,089.30 | Facility | None | $2,089.30 | $2,089.30 | $2,089.30 |
United Setting Professional Modifier None Typical Low $1,995.26 Median $2,137.96 Typical High $2,754.23 | Professional | None | $1,995.26 | $2,137.96 | $2,754.23 |
Univera Setting Facility Modifier None Typical Low $1,995.26 Median $2,137.96 Typical High $2,187.76 | Facility | None | $1,995.26 | $2,137.96 | $2,187.76 |
Univera Setting Professional Modifier None Typical Low $1,995.26 Median $2,089.30 Typical High $2,137.96 | Professional | None | $1,995.26 | $2,089.30 | $2,137.96 |
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 $1,023.29 Median $1,023.29 Typical High $1,023.29 | Professional | 52 · Reduced service | $1,023.29 | $1,023.29 | $1,023.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $416.87 Median $416.87 Typical High $416.87 | Professional | 53 · Discontinued | $416.87 | $416.87 | $416.87 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $309.03 Median $309.03 Typical High $309.03 | Professional | 55 · Aftercare only | $309.03 | $309.03 | $309.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $208.93 Median $208.93 Typical High $208.93 | Professional | 56 · Pre-op care only | $208.93 | $208.93 | $208.93 |
Where New York sits
The same service costs 2.0 times more in Alaska than in Oklahoma. 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· 25th of 51
$2,089
AK $3,548OK $1,778
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.