How much rates vary
Facilitymedian $4,571 · 10th to 90th $1,259 to $10,471Professionalmedian $933 · 10th to 90th $646 to $2,188
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 $707.95 Median $6,760.83 Typical High $10,964.78 | Facility | None | $707.95 | $6,760.83 | $10,964.78 |
Aetna Setting Professional Modifier None Typical Low $707.95 Median $870.96 Typical High $1,819.70 | Professional | None | $707.95 | $870.96 | $1,819.70 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $489.78 Median $489.78 Typical High $630.96 | Professional | 78 · Unplanned return to OR | $489.78 | $489.78 | $630.96 |
AmeriHealth Setting Facility Modifier None Typical Low $3,388.44 Median $7,585.78 Typical High $13,803.84 | Facility | None | $3,388.44 | $7,585.78 | $13,803.84 |
AmeriHealth Setting Professional Modifier None Typical Low $851.14 Median $1,258.93 Typical High $2,754.23 | Professional | None | $851.14 | $1,258.93 | $2,754.23 |
Cigna Setting Facility Modifier None Typical Low $2,238.72 Median $3,801.89 Typical High $6,309.57 | Facility | None | $2,238.72 | $3,801.89 | $6,309.57 |
Cigna Setting Professional Modifier None Typical Low $645.65 Median $933.25 Typical High $2,570.40 | Professional | None | $645.65 | $933.25 | $2,570.40 |
Emblem Health Setting Professional Modifier None Typical Low $1,023.29 Median $1,445.44 Typical High $1,479.11 | Professional | None | $1,023.29 | $1,445.44 | $1,479.11 |
Horizon BCBS Setting Facility Modifier None Typical Low $4,265.80 Median $7,943.28 Typical High $26,915.35 | Facility | None | $4,265.80 | $7,943.28 | $26,915.35 |
Horizon BCBS Setting Professional Modifier None Typical Low $933.25 Median $1,096.48 Typical High $2,691.53 | Professional | None | $933.25 | $1,096.48 | $2,691.53 |
United Setting Facility Modifier None Typical Low $1,288.25 Median $3,388.44 Typical High $7,943.28 | Facility | None | $1,288.25 | $3,388.44 | $7,943.28 |
United Setting Professional Modifier None Typical Low $537.03 Median $776.25 Typical High $2,089.30 | Professional | None | $537.03 | $776.25 | $2,089.30 |
1 more rate 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 54 · Surgery only Typical Low $524.81 Median $524.81 Typical High $676.08 | Professional | 54 · Surgery only | $524.81 | $524.81 | $676.08 |
Where New Jersey sits
The same service costs 4.1 times more in Colorado 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.
Physician feeFacility fee
CO $12,128HI $2,968
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.