How much rates vary
Facilitymedian $6,026 · 10th to 90th $2,042 to $12,589Professionalmedian $1,549 · 10th to 90th $912 to $2,188
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 $912.01 Median $912.01 Typical High $1,548.82 | Professional | None | $912.01 | $912.01 | $1,548.82 |
Cigna Setting Facility Modifier None Typical Low $1,995.26 Median $4,786.30 Typical High $8,511.38 | Facility | None | $1,995.26 | $4,786.30 | $8,511.38 |
Cigna Setting Professional Modifier None Typical Low $1,288.25 Median $1,659.59 Typical High $2,951.21 | Professional | None | $1,288.25 | $1,659.59 | $2,951.21 |
Emblem Health Setting Professional Modifier None Typical Low $1,621.81 Median $2,187.76 Typical High $2,187.76 | Professional | None | $1,621.81 | $2,187.76 | $2,187.76 |
Horizon BCBS Setting Facility Modifier None Typical Low $5,128.61 Median $9,772.37 Typical High $29,512.09 | Facility | None | $5,128.61 | $9,772.37 | $29,512.09 |
Horizon BCBS Setting Professional Modifier None Typical Low $1,584.89 Median $1,698.24 Typical High $2,290.87 | Professional | None | $1,584.89 | $1,698.24 | $2,290.87 |
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 $1,023.29 Median $1,288.25 Typical High $2,041.74 | Professional | None | $1,023.29 | $1,288.25 | $2,041.74 |
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 $446.68 Median $446.68 Typical High $776.25 | Professional | 52 · Reduced service | $446.68 | $446.68 | $776.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $181.97 Median $181.97 Typical High $309.03 | Professional | 53 · Discontinued | $181.97 | $181.97 | $309.03 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $676.08 Median $676.08 Typical High $1,174.90 | Professional | 54 · Surgery only | $676.08 | $676.08 | $1,174.90 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $134.90 Median $134.90 Typical High $234.42 | Professional | 55 · Aftercare only | $134.90 | $134.90 | $234.42 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $91.20 Median $91.20 Typical High $154.88 | Professional | 56 · Pre-op care only | $91.20 | $91.20 | $154.88 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $630.96 Median $630.96 Typical High $1,096.48 | Professional | 78 · Unplanned return to OR | $630.96 | $630.96 | $1,096.48 |
Where New Jersey sits
The same service costs 5.5 times more in Alaska than in Kentucky. 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 $15,938KY $2,890
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.