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 $2,137.96 Median $2,187.76 Typical High $2,630.27 | Facility | None | $2,137.96 | $2,187.76 | $2,630.27 |
Aetna Setting Professional Modifier None Typical Low $2,137.96 Median $2,187.76 Typical High $2,630.27 | Professional | None | $2,137.96 | $2,187.76 | $2,630.27 |
Cigna Setting Facility Modifier None Typical Low $1,047.13 Median $1,862.09 Typical High $2,691.53 | Facility | None | $1,047.13 | $1,862.09 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $1,737.80 Median $2,137.96 Typical High $4,073.80 | Professional | None | $1,737.80 | $2,137.96 | $4,073.80 |
Emblem Health Setting Professional Modifier None Typical Low $2,691.53 Median $3,548.13 Typical High $3,548.13 | Professional | None | $2,691.53 | $3,548.13 | $3,548.13 |
Horizon BCBS Setting Facility Modifier None Typical Low $1,584.89 Median $2,884.03 Typical High $22,387.21 | Facility | None | $1,584.89 | $2,884.03 | $22,387.21 |
Horizon BCBS Setting Professional Modifier None Typical Low $1,621.81 Median $2,041.74 Typical High $4,265.80 | Professional | None | $1,621.81 | $2,041.74 | $4,265.80 |
United Setting Facility Modifier None Typical Low $1,548.82 Median $4,168.69 Typical High $9,772.37 | Facility | None | $1,548.82 | $4,168.69 | $9,772.37 |
United Setting Professional Modifier None Typical Low $1,230.27 Median $1,778.28 Typical High $2,818.38 | Professional | None | $1,230.27 | $1,778.28 | $2,818.38 |
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 $1,071.52 Median $1,096.48 Typical High $1,288.25 | Professional | 52 · Reduced service | $1,071.52 | $1,096.48 | $1,288.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $426.58 Median $436.52 Typical High $524.81 | Professional | 53 · Discontinued | $426.58 | $436.52 | $524.81 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $323.59 Median $331.13 Typical High $389.05 | Professional | 55 · Aftercare only | $323.59 | $331.13 | $389.05 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $213.80 Median $218.78 Typical High $263.03 | Professional | 56 · Pre-op care only | $213.80 | $218.78 | $263.03 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,513.56 Median $1,513.56 Typical High $1,819.70 | Professional | 78 · Unplanned return to OR | $1,513.56 | $1,513.56 | $1,819.70 |
Where New Jersey sits
The same service costs 5.5 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· 42nd of 51
$2,089
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.