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 $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 $1,047.13 Median $1,047.13 Typical High $1,071.52 | Professional | None | $1,047.13 | $1,047.13 | $1,071.52 |
Cigna Setting Facility Modifier None Typical Low $1,513.56 Median $6,025.60 Typical High $11,748.98 | Facility | None | $1,513.56 | $6,025.60 | $11,748.98 |
Cigna Setting Professional Modifier None Typical Low $977.24 Median $1,148.15 Typical High $2,187.76 | Professional | None | $977.24 | $1,148.15 | $2,187.76 |
Emblem Health Setting Professional Modifier None Typical Low $1,148.15 Median $1,513.56 Typical High $1,513.56 | Professional | None | $1,148.15 | $1,513.56 | $1,513.56 |
Horizon BCBS Setting Facility Modifier None Typical Low $5,888.44 Median $10,471.29 Typical High $27,542.29 | Facility | None | $5,888.44 | $10,471.29 | $27,542.29 |
Horizon BCBS Setting Professional Modifier None Typical Low $1,096.48 Median $1,174.90 Typical High $1,737.80 | Professional | None | $1,096.48 | $1,174.90 | $1,737.80 |
United Setting Facility Modifier None Typical Low $1,288.25 Median $3,388.44 Typical High $7,943.28 | Facility | None | $1,288.25 | $3,388.44 | $7,943.28 |
United Setting Professional Modifier None Typical Low $724.44 Median $912.01 Typical High $1,445.44 | Professional | None | $724.44 | $912.01 | $1,445.44 |
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 $524.81 Typical High $537.03 | Professional | 52 · Reduced service | $524.81 | $524.81 | $537.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $208.93 Median $208.93 Typical High $213.80 | Professional | 53 · Discontinued | $208.93 | $208.93 | $213.80 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $776.25 Median $776.25 Typical High $794.33 | Professional | 54 · Surgery only | $776.25 | $776.25 | $794.33 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $154.88 Median $154.88 Typical High $158.49 | Professional | 55 · Aftercare only | $154.88 | $154.88 | $158.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $104.71 Median $104.71 Typical High $107.15 | Professional | 56 · Pre-op care only | $104.71 | $104.71 | $107.15 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $724.44 Median $724.44 Typical High $741.31 | Professional | 78 · Unplanned return to OR | $724.44 | $724.44 | $741.31 |
Where New Jersey sits
The same service costs 7.9 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.