How much rates vary
Facilitymedian $6,026 · 10th to 90th $2,042 to $12,589Professionalmedian $2,455 · 10th to 90th $1,862 to $3,715
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 $8,317.64 Typical High $12,882.50 | Facility | None | $4,466.84 | $8,317.64 | $12,882.50 |
Aetna Setting Professional Modifier None Typical Low $2,398.83 Median $2,454.71 Typical High $2,630.27 | Professional | None | $2,398.83 | $2,454.71 | $2,630.27 |
Cigna Setting Facility Modifier None Typical Low $1,995.26 Median $4,570.88 Typical High $8,128.31 | Facility | None | $1,995.26 | $4,570.88 | $8,128.31 |
Cigna Setting Professional Modifier None Typical Low $2,290.87 Median $2,691.53 Typical High $5,011.87 | Professional | None | $2,290.87 | $2,691.53 | $5,011.87 |
Emblem Health Setting Professional Modifier None Typical Low $2,754.23 Median $3,630.78 Typical High $3,630.78 | Professional | None | $2,754.23 | $3,630.78 | $3,630.78 |
Horizon BCBS Setting Facility Modifier None Typical Low $5,370.32 Median $9,772.37 Typical High $29,512.09 | Facility | None | $5,370.32 | $9,772.37 | $29,512.09 |
Horizon BCBS Setting Professional Modifier None Typical Low $2,570.40 Median $2,754.23 Typical High $3,981.07 | Professional | None | $2,570.40 | $2,754.23 | $3,981.07 |
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 $1,698.24 Median $2,187.76 Typical High $3,548.13 | Professional | None | $1,698.24 | $2,187.76 | $3,548.13 |
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 $1,202.26 Median $1,230.27 Typical High $1,288.25 | Professional | 52 · Reduced service | $1,202.26 | $1,230.27 | $1,288.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $489.78 Median $489.78 Typical High $512.86 | Professional | 53 · Discontinued | $489.78 | $489.78 | $512.86 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,819.70 Median $1,819.70 Typical High $1,905.46 | Professional | 54 · Surgery only | $1,819.70 | $1,819.70 | $1,905.46 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $363.08 Median $363.08 Typical High $380.19 | Professional | 55 · Aftercare only | $363.08 | $363.08 | $380.19 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $239.88 Median $245.47 Typical High $257.04 | Professional | 56 · Pre-op care only | $239.88 | $245.47 | $257.04 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,698.24 Median $1,698.24 Typical High $1,778.28 | Professional | 78 · Unplanned return to OR | $1,698.24 | $1,698.24 | $1,778.28 |
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 $19,772TX $4,915
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.