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 $38.90 Median $6,918.31 Typical High $12,882.50 | Facility | None | $38.90 | $6,918.31 | $12,882.50 |
Aetna Setting Professional Modifier None Typical Low $14.79 Median $26.92 Typical High $44.67 | Professional | None | $14.79 | $26.92 | $44.67 |
Cigna Setting Facility Modifier None Typical Low $251.19 Median $2,137.96 Typical High $3,019.95 | Facility | None | $251.19 | $2,137.96 | $3,019.95 |
Cigna Setting Professional Modifier None Typical Low $10.47 Median $19.95 Typical High $75.86 | Professional | None | $10.47 | $19.95 | $75.86 |
Emblem Health Setting Professional Modifier None Typical Low $35.48 Median $47.86 Typical High $51.29 | Professional | None | $35.48 | $47.86 | $51.29 |
Horizon BCBS Setting Professional Modifier None Typical Low $16.60 Median $43.65 Typical High $77.62 | Professional | None | $16.60 | $43.65 | $77.62 |
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 $7.94 Median $18.20 Typical High $47.86 | Professional | None | $7.94 | $18.20 | $47.86 |
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 $7.24 Median $10.96 Typical High $22.39 | Professional | 52 · Reduced service | $7.24 | $10.96 | $22.39 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.95 Median $4.37 Typical High $8.91 | Professional | 53 · Discontinued | $2.95 | $4.37 | $8.91 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $10.96 Median $16.22 Typical High $33.11 | Professional | 54 · Surgery only | $10.96 | $16.22 | $33.11 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.19 Median $3.24 Typical High $6.61 | Professional | 55 · Aftercare only | $2.19 | $3.24 | $6.61 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.45 Median $2.19 Typical High $4.47 | Professional | 56 · Pre-op care only | $1.45 | $2.19 | $4.47 |
Where New Jersey sits
The same service costs 3.9 times more in Alaska than in Hawaii. 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· 49th of 51
$25.70
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.