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 $4,466.84 Median $7,244.36 Typical High $11,748.98 | Facility | None | $4,466.84 | $7,244.36 | $11,748.98 |
Aetna Setting Professional Modifier None Typical Low $2,041.74 Median $2,041.74 Typical High $2,454.71 | Professional | None | $2,041.74 | $2,041.74 | $2,454.71 |
Cigna Setting Facility Modifier None Typical Low $1,122.02 Median $2,137.96 Typical High $3,388.44 | Facility | None | $1,122.02 | $2,137.96 | $3,388.44 |
Cigna Setting Professional Modifier None Typical Low $1,548.82 Median $2,570.40 Typical High $4,897.79 | Professional | None | $1,548.82 | $2,570.40 | $4,897.79 |
Emblem Health Setting Professional Modifier None Typical Low $2,754.23 Median $3,630.78 Typical High $3,715.35 | Professional | None | $2,754.23 | $3,630.78 | $3,715.35 |
Horizon BCBS Setting Facility Modifier None Typical Low $1,584.89 Median $2,818.38 Typical High $8,317.64 | Facility | None | $1,584.89 | $2,818.38 | $8,317.64 |
Horizon BCBS Setting Professional Modifier None Typical Low $2,630.27 Median $3,090.30 Typical High $4,677.35 | Professional | None | $2,630.27 | $3,090.30 | $4,677.35 |
United Setting Facility Modifier None Typical Low $707.95 Median $1,995.26 Typical High $5,623.41 | Facility | None | $707.95 | $1,995.26 | $5,623.41 |
United Setting Professional Modifier None Typical Low $1,230.27 Median $1,584.89 Typical High $4,570.88 | Professional | None | $1,230.27 | $1,584.89 | $4,570.88 |
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 $1,023.29 Median $1,023.29 Typical High $1,174.90 | Professional | 52 · Reduced service | $1,023.29 | $1,023.29 | $1,174.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $407.38 Median $407.38 Typical High $467.74 | Professional | 53 · Discontinued | $407.38 | $407.38 | $467.74 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,548.82 Median $1,548.82 Typical High $1,778.28 | Professional | 54 · Surgery only | $1,548.82 | $1,548.82 | $1,778.28 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $309.03 Median $309.03 Typical High $354.81 | Professional | 55 · Aftercare only | $309.03 | $309.03 | $354.81 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $204.17 Median $204.17 Typical High $234.42 | Professional | 56 · Pre-op care only | $204.17 | $204.17 | $234.42 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,445.44 Median $1,445.44 Typical High $1,659.59 | Professional | 78 · Unplanned return to OR | $1,445.44 | $1,445.44 | $1,659.59 |
Where New Jersey sits
The same service costs 15.8 times more in Alaska than in Texas. 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· 43rd of 51
$2,455
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.