How much rates vary
Facilitymedian $1,445 · 10th to 90th $389 to $6,918Professionalmedian $339 · 10th to 90th $93 to $1,023
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 $134.90 Median $4,466.84 Typical High $9,772.37 | Facility | None | $134.90 | $4,466.84 | $9,772.37 |
Aetna Setting Professional Modifier None Typical Low $128.82 Median $616.60 Typical High $776.25 | Professional | None | $128.82 | $616.60 | $776.25 |
AmeriHealth Setting Facility Modifier None Typical Low $1,995.26 Median $7,079.46 Typical High $11,748.98 | Facility | None | $1,995.26 | $7,079.46 | $11,748.98 |
Cigna Setting Facility Modifier None Typical Low $251.19 Median $524.81 Typical High $977.24 | Facility | None | $251.19 | $524.81 | $977.24 |
Cigna Setting Professional Modifier None Typical Low $104.71 Median $389.05 Typical High $1,096.48 | Professional | None | $104.71 | $389.05 | $1,096.48 |
Emblem Health Setting Professional Modifier None Typical Low $707.95 Median $954.99 Typical High $1,023.29 | Professional | None | $707.95 | $954.99 | $1,023.29 |
Horizon BCBS Setting Facility Modifier None Typical Low $588.84 Median $1,122.02 Typical High $2,691.53 | Facility | None | $588.84 | $1,122.02 | $2,691.53 |
Horizon BCBS Setting Professional Modifier None Typical Low $131.83 Median $676.08 Typical High $1,258.93 | Professional | None | $131.83 | $676.08 | $1,258.93 |
United Setting Facility Modifier None Typical Low $537.03 Median $1,548.82 Typical High $3,981.07 | Facility | None | $537.03 | $1,548.82 | $3,981.07 |
United Setting Professional Modifier None Typical Low $63.10 Median $302.00 Typical High $707.95 | Professional | None | $63.10 | $302.00 | $707.95 |
5 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 $64.57 Median $85.11 Typical High $354.81 | Professional | 52 · Reduced service | $64.57 | $85.11 | $354.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.70 Median $33.88 Typical High $141.25 | Professional | 53 · Discontinued | $25.70 | $33.88 | $141.25 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $97.72 Median $125.89 Typical High $537.03 | Professional | 54 · Surgery only | $97.72 | $125.89 | $537.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $19.50 Median $25.12 Typical High $107.15 | Professional | 55 · Aftercare only | $19.50 | $25.12 | $107.15 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.88 Median $16.98 Typical High $70.79 | Professional | 56 · Pre-op care only | $12.88 | $16.98 | $70.79 |
Where New Jersey sits
The same service costs 5.6 times more in Hawaii than in Maryland. 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.
Physician feeFacility fee
HI $3,479MD $616
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.