How much rates vary
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 $2,570.40 Median $5,248.07 Typical High $10,964.78 | Facility | None | $2,570.40 | $5,248.07 | $10,964.78 |
Aetna Setting Professional Modifier None Typical Low $26.92 Median $61.66 Typical High $74.13 | Professional | None | $26.92 | $61.66 | $74.13 |
Cigna Setting Facility Modifier None Typical Low $1,023.29 Median $2,137.96 Typical High $3,019.95 | Facility | None | $1,023.29 | $2,137.96 | $3,019.95 |
Cigna Setting Professional Modifier None Typical Low $19.05 Median $46.77 Typical High $109.65 | Professional | None | $19.05 | $46.77 | $109.65 |
Emblem Health Setting Professional Modifier None Typical Low $81.28 Median $109.65 Typical High $117.49 | Professional | None | $81.28 | $109.65 | $117.49 |
Horizon BCBS Setting Professional Modifier None Typical Low $33.11 Median $77.62 Typical High $138.04 | Professional | None | $33.11 | $77.62 | $138.04 |
United Setting Facility Modifier None Typical Low $309.03 Median $1,412.54 Typical High $3,890.45 | Facility | None | $309.03 | $1,412.54 | $3,890.45 |
United Setting Professional Modifier None Typical Low $13.80 Median $38.02 Typical High $85.11 | Professional | None | $13.80 | $38.02 | $85.11 |
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 $13.49 Median $19.50 Typical High $32.36 | Professional | 52 · Reduced service | $13.49 | $19.50 | $32.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.50 Median $12.02 Typical High $12.88 | Professional | 53 · Discontinued | $5.50 | $12.02 | $12.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $20.42 Median $29.51 Typical High $48.98 | Professional | 54 · Surgery only | $20.42 | $29.51 | $48.98 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.07 Median $9.12 Typical High $9.77 | Professional | 55 · Aftercare only | $4.07 | $9.12 | $9.77 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.69 Median $6.03 Typical High $6.46 | Professional | 56 · Pre-op care only | $2.69 | $6.03 | $6.46 |
Where New Jersey sits
The same service costs 3.3 times more in Alaska than in Kentucky. 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 Jersey· 50th of 51
$53.70
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.