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 $9,332.54 Typical High $14,125.38 | Facility | None | $4,466.84 | $9,332.54 | $14,125.38 |
Aetna Setting Professional Modifier None Typical Low $851.14 Median $870.96 Typical High $870.96 | Professional | None | $851.14 | $870.96 | $870.96 |
Cigna Setting Facility Modifier None Typical Low $1,548.82 Median $5,754.40 Typical High $10,964.78 | Facility | None | $1,548.82 | $5,754.40 | $10,964.78 |
Cigna Setting Professional Modifier None Typical Low $794.33 Median $933.25 Typical High $1,778.28 | Professional | None | $794.33 | $933.25 | $1,778.28 |
Emblem Health Setting Professional Modifier None Typical Low $912.01 Median $1,230.27 Typical High $1,230.27 | Professional | None | $912.01 | $1,230.27 | $1,230.27 |
Horizon BCBS Setting Facility Modifier None Typical Low $4,677.35 Median $8,317.64 Typical High $22,387.21 | Facility | None | $4,677.35 | $8,317.64 | $22,387.21 |
Horizon BCBS Setting Professional Modifier None Typical Low $812.83 Median $977.24 Typical High $1,380.38 | Professional | None | $812.83 | $977.24 | $1,380.38 |
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 $575.44 Median $758.58 Typical High $1,202.26 | Professional | None | $575.44 | $758.58 | $1,202.26 |
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 $426.58 Median $426.58 Typical High $436.52 | Professional | 52 · Reduced service | $426.58 | $426.58 | $436.52 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $169.82 Median $173.78 Typical High $173.78 | Professional | 53 · Discontinued | $169.82 | $173.78 | $173.78 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $630.96 Median $645.65 Typical High $660.69 | Professional | 54 · Surgery only | $630.96 | $645.65 | $660.69 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $125.89 Median $128.82 Typical High $131.83 | Professional | 55 · Aftercare only | $125.89 | $128.82 | $131.83 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $85.11 Median $87.10 Typical High $87.10 | Professional | 56 · Pre-op care only | $85.11 | $87.10 | $87.10 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $588.84 Median $602.56 Typical High $616.60 | Professional | 78 · Unplanned return to OR | $588.84 | $602.56 | $616.60 |
Where New Jersey sits
The same service costs 17.8 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· 44th of 51
$871
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.