How much rates vary
Facilitymedian $6,166 · 10th to 90th $2,089 to $12,882Professionalmedian $2,884 · 10th to 90th $2,188 to $4,365
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 $2,754.23 Median $2,754.23 Typical High $2,884.03 | Professional | None | $2,754.23 | $2,754.23 | $2,884.03 |
Cigna Setting Facility Modifier None Typical Low $1,659.59 Median $5,623.41 Typical High $10,471.29 | Facility | None | $1,659.59 | $5,623.41 | $10,471.29 |
Cigna Setting Professional Modifier None Typical Low $2,818.38 Median $3,311.31 Typical High $5,754.40 | Professional | None | $2,818.38 | $3,311.31 | $5,754.40 |
Emblem Health Setting Professional Modifier None Typical Low $3,388.44 Median $4,265.80 Typical High $4,265.80 | Professional | None | $3,388.44 | $4,265.80 | $4,265.80 |
Horizon BCBS Setting Facility Modifier None Typical Low $5,754.40 Median $10,715.19 Typical High $27,542.29 | Facility | None | $5,754.40 | $10,715.19 | $27,542.29 |
Horizon BCBS Setting Professional Modifier None Typical Low $2,884.03 Median $3,388.44 Typical High $4,786.30 | Professional | None | $2,884.03 | $3,388.44 | $4,786.30 |
United Setting Facility Modifier None Typical Low $1,621.81 Median $4,897.79 Typical High $11,481.54 | Facility | None | $1,621.81 | $4,897.79 | $11,481.54 |
United Setting Professional Modifier None Typical Low $1,995.26 Median $2,570.40 Typical High $4,168.69 | Professional | None | $1,995.26 | $2,570.40 | $4,168.69 |
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 $1,380.38 Median $1,380.38 Typical High $1,445.44 | Professional | 52 · Reduced service | $1,380.38 | $1,380.38 | $1,445.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $549.54 Median $549.54 Typical High $575.44 | Professional | 53 · Discontinued | $549.54 | $549.54 | $575.44 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $2,089.30 Median $2,089.30 Typical High $2,187.76 | Professional | 54 · Surgery only | $2,089.30 | $2,089.30 | $2,187.76 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $416.87 Median $416.87 Typical High $436.52 | Professional | 55 · Aftercare only | $416.87 | $416.87 | $436.52 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $275.42 Median $275.42 Typical High $288.40 | Professional | 56 · Pre-op care only | $275.42 | $275.42 | $288.40 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,949.84 Median $1,949.84 Typical High $2,041.74 | Professional | 78 · Unplanned return to OR | $1,949.84 | $1,949.84 | $2,041.74 |
Where New Jersey sits
The same service costs 4.0 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.
Physician feeFacility fee
AK $21,795TX $5,500
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.