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 $1,047.13 Median $1,096.48 Typical High $1,096.48 | Professional | None | $1,047.13 | $1,096.48 | $1,096.48 |
Cigna Setting Facility Modifier None Typical Low $1,995.26 Median $5,754.40 Typical High $10,471.29 | Facility | None | $1,995.26 | $5,754.40 | $10,471.29 |
Cigna Setting Professional Modifier None Typical Low $1,023.29 Median $1,122.02 Typical High $2,187.76 | Professional | None | $1,023.29 | $1,122.02 | $2,187.76 |
Emblem Health Setting Professional Modifier None Typical Low $1,174.90 Median $1,548.82 Typical High $1,548.82 | Professional | None | $1,174.90 | $1,548.82 | $1,548.82 |
Horizon BCBS Setting Facility Modifier None Typical Low $5,128.61 Median $9,772.37 Typical High $27,542.29 | Facility | None | $5,128.61 | $9,772.37 | $27,542.29 |
Horizon BCBS Setting Professional Modifier None Typical Low $1,071.52 Median $1,148.15 Typical High $1,698.24 | Professional | None | $1,071.52 | $1,148.15 | $1,698.24 |
United Setting Facility Modifier None Typical Low $1,621.81 Median $4,786.30 Typical High $11,481.54 | Facility | None | $1,621.81 | $4,786.30 | $11,481.54 |
United Setting Professional Modifier None Typical Low $741.31 Median $933.25 Typical High $1,479.11 | Professional | None | $741.31 | $933.25 | $1,479.11 |
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 $524.81 Median $549.54 Typical High $549.54 | Professional | 52 · Reduced service | $524.81 | $549.54 | $549.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $208.93 Median $223.87 Typical High $223.87 | Professional | 53 · Discontinued | $208.93 | $223.87 | $223.87 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $776.25 Median $831.76 Typical High $831.76 | Professional | 54 · Surgery only | $776.25 | $831.76 | $831.76 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $154.88 Median $165.96 Typical High $165.96 | Professional | 55 · Aftercare only | $154.88 | $165.96 | $165.96 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $104.71 Median $109.65 Typical High $109.65 | Professional | 56 · Pre-op care only | $104.71 | $109.65 | $109.65 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $724.44 Median $776.25 Typical High $776.25 | Professional | 78 · Unplanned return to OR | $724.44 | $776.25 | $776.25 |
Where New Jersey sits
The same service costs 14.8 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· 40th of 51
$1,096
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.