How much rates vary
Facilitymedian $2,512 · 10th to 90th $1,023 to $8,318Professionalmedian $1,380 · 10th to 90th $1,023 to $1,950
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 $4,365.16 Median $6,760.83 Typical High $11,748.98 | Facility | None | $4,365.16 | $6,760.83 | $11,748.98 |
Aetna Setting Professional Modifier None Typical Low $1,023.29 Median $1,023.29 Typical High $1,412.54 | Professional | None | $1,023.29 | $1,023.29 | $1,412.54 |
Cigna Setting Facility Modifier None Typical Low $1,047.13 Median $2,089.30 Typical High $3,019.95 | Facility | None | $1,047.13 | $2,089.30 | $3,019.95 |
Cigna Setting Professional Modifier None Typical Low $1,258.93 Median $1,479.11 Typical High $2,754.23 | Professional | None | $1,258.93 | $1,479.11 | $2,754.23 |
Emblem Health Setting Professional Modifier None Typical Low $1,548.82 Median $2,041.74 Typical High $2,041.74 | Professional | None | $1,548.82 | $2,041.74 | $2,041.74 |
Horizon BCBS Setting Facility Modifier None Typical Low $1,905.46 Median $3,548.13 Typical High $10,964.78 | Facility | None | $1,905.46 | $3,548.13 | $10,964.78 |
Horizon BCBS Setting Professional Modifier None Typical Low $1,412.54 Median $1,513.56 Typical High $2,041.74 | Professional | None | $1,412.54 | $1,513.56 | $2,041.74 |
United Setting Facility Modifier None Typical Low $707.95 Median $1,995.26 Typical High $5,623.41 | Facility | None | $707.95 | $1,995.26 | $5,623.41 |
United Setting Professional Modifier None Typical Low $977.24 Median $1,174.90 Typical High $1,862.09 | Professional | None | $977.24 | $1,174.90 | $1,862.09 |
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 $512.86 Median $512.86 Typical High $707.95 | Professional | 52 · Reduced service | $512.86 | $512.86 | $707.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $204.17 Median $204.17 Typical High $281.84 | Professional | 53 · Discontinued | $204.17 | $204.17 | $281.84 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $758.58 Median $758.58 Typical High $1,047.13 | Professional | 54 · Surgery only | $758.58 | $758.58 | $1,047.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $151.36 Median $151.36 Typical High $208.93 | Professional | 55 · Aftercare only | $151.36 | $151.36 | $208.93 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $102.33 Median $102.33 Typical High $141.25 | Professional | 56 · Pre-op care only | $102.33 | $102.33 | $141.25 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $707.95 Median $707.95 Typical High $977.24 | Professional | 78 · Unplanned return to OR | $707.95 | $707.95 | $977.24 |
Where New Jersey sits
The same service costs 3.7 times more in Alaska than in Delaware. 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 $8,917DE $2,410
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.