How much rates vary
Facilitymedian $676 · 10th to 90th $151 to $4,898Professionalmedian $138 · 10th to 90th $62 to $309
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 $87.10 Median $4,168.69 Typical High $10,471.29 | Facility | None | $87.10 | $4,168.69 | $10,471.29 |
Aetna Setting Professional Modifier None Typical Low $87.10 Median $144.54 Typical High $194.98 | Professional | None | $87.10 | $144.54 | $194.98 |
Cigna Setting Facility Modifier None Typical Low $114.82 Median $208.93 Typical High $371.54 | Facility | None | $114.82 | $208.93 | $371.54 |
Cigna Setting Professional Modifier None Typical Low $74.13 Median $141.25 Typical High $251.19 | Professional | None | $74.13 | $141.25 | $251.19 |
Emblem Health Setting Professional Modifier None Typical Low $245.47 Median $331.13 Typical High $346.74 | Professional | None | $245.47 | $331.13 | $346.74 |
Horizon BCBS Setting Facility Modifier None Typical Low $165.96 Median $316.23 Typical High $758.58 | Facility | None | $165.96 | $316.23 | $758.58 |
Horizon BCBS Setting Professional Modifier None Typical Low $89.13 Median $194.98 Typical High $331.13 | Professional | None | $89.13 | $194.98 | $331.13 |
United Setting Facility Modifier None Typical Low $316.23 Median $1,380.38 Typical High $3,801.89 | Facility | None | $316.23 | $1,380.38 | $3,801.89 |
United Setting Professional Modifier None Typical Low $47.86 Median $114.82 Typical High $213.80 | Professional | None | $47.86 | $114.82 | $213.80 |
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 $43.65 Median $69.18 Typical High $97.72 | Professional | 52 · Reduced service | $43.65 | $69.18 | $97.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.38 Median $27.54 Typical High $38.90 | Professional | 53 · Discontinued | $17.38 | $27.54 | $38.90 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $64.57 Median $104.71 Typical High $144.54 | Professional | 54 · Surgery only | $64.57 | $104.71 | $144.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.88 Median $20.89 Typical High $29.51 | Professional | 55 · Aftercare only | $12.88 | $20.89 | $29.51 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.71 Median $13.80 Typical High $19.50 | Professional | 56 · Pre-op care only | $8.71 | $13.80 | $19.50 |
Where New Jersey sits
The same service costs 11.6 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 $3,027MD $261
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.