How much rates vary
Facilitymedian $2,692 · 10th to 90th $741 to $7,762Professionalmedian $631 · 10th to 90th $407 to $1,259
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 $602.56 Median $5,623.41 Typical High $10,471.29 | Facility | None | $602.56 | $5,623.41 | $10,471.29 |
Aetna Setting Professional Modifier None Typical Low $501.19 Median $616.60 Typical High $741.31 | Professional | None | $501.19 | $616.60 | $741.31 |
Cigna Setting Facility Modifier None Typical Low $933.25 Median $1,949.84 Typical High $2,884.03 | Facility | None | $933.25 | $1,949.84 | $2,884.03 |
Cigna Setting Professional Modifier None Typical Low $416.87 Median $691.83 Typical High $1,318.26 | Professional | None | $416.87 | $691.83 | $1,318.26 |
Emblem Health Setting Professional Modifier None Typical Low $1,000.00 Median $1,348.96 Typical High $1,412.54 | Professional | None | $1,000.00 | $1,348.96 | $1,412.54 |
Horizon BCBS Setting Facility Modifier None Typical Low $1,584.89 Median $3,019.95 Typical High $7,762.47 | Facility | None | $1,584.89 | $3,019.95 | $7,762.47 |
Horizon BCBS Setting Professional Modifier None Typical Low $645.65 Median $977.24 Typical High $1,380.38 | Professional | None | $645.65 | $977.24 | $1,380.38 |
United Setting Facility Modifier None Typical Low $1,122.02 Median $2,884.03 Typical High $6,760.83 | Facility | None | $1,122.02 | $2,884.03 | $6,760.83 |
United Setting Professional Modifier None Typical Low $323.59 Median $501.19 Typical High $1,148.15 | Professional | None | $323.59 | $501.19 | $1,148.15 |
6 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 $251.19 Median $309.03 Typical High $371.54 | Professional | 52 · Reduced service | $251.19 | $309.03 | $371.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $100.00 Median $123.03 Typical High $147.91 | Professional | 53 · Discontinued | $100.00 | $123.03 | $147.91 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $380.19 Median $467.74 Typical High $549.54 | Professional | 54 · Surgery only | $380.19 | $467.74 | $549.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $75.86 Median $93.33 Typical High $109.65 | Professional | 55 · Aftercare only | $75.86 | $93.33 | $109.65 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $50.12 Median $61.66 Typical High $74.13 | Professional | 56 · Pre-op care only | $50.12 | $61.66 | $74.13 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $354.81 Median $436.52 Typical High $512.86 | Professional | 78 · Unplanned return to OR | $354.81 | $436.52 | $512.86 |
Where New Jersey sits
The same service costs 3.1 times more in Alaska 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
AK $5,990MD $1,938
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.