How much rates vary
Facilitymedian $6,310 · 10th to 90th $2,042 to $18,621Professionalmedian $2,138 · 10th to 90th $1,047 to $2,951
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 $2,137.96 | Professional | None | $1,047.13 | $1,047.13 | $2,137.96 |
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 $1,778.28 Median $2,238.72 Typical High $3,981.07 | Professional | None | $1,778.28 | $2,238.72 | $3,981.07 |
Emblem Health Setting Professional Modifier None Typical Low $2,187.76 Median $2,884.03 Typical High $2,884.03 | Professional | None | $2,187.76 | $2,884.03 | $2,884.03 |
Horizon BCBS Setting Facility Modifier None Typical Low $10,232.93 Median $17,782.79 Typical High $30,902.95 | Facility | None | $10,232.93 | $17,782.79 | $30,902.95 |
Horizon BCBS Setting Professional Modifier None Typical Low $2,187.76 Median $2,344.23 Typical High $3,090.30 | Professional | None | $2,187.76 | $2,344.23 | $3,090.30 |
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 $1,348.96 Median $1,737.80 Typical High $2,754.23 | Professional | None | $1,348.96 | $1,737.80 | $2,754.23 |
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 $1,071.52 | Professional | 52 · Reduced service | $524.81 | $524.81 | $1,071.52 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $208.93 Median $208.93 Typical High $426.58 | Professional | 53 · Discontinued | $208.93 | $208.93 | $426.58 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $776.25 Median $776.25 Typical High $1,584.89 | Professional | 54 · Surgery only | $776.25 | $776.25 | $1,584.89 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $154.88 Median $154.88 Typical High $316.23 | Professional | 55 · Aftercare only | $154.88 | $154.88 | $316.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $104.71 Median $104.71 Typical High $213.80 | Professional | 56 · Pre-op care only | $104.71 | $104.71 | $213.80 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $724.44 Median $724.44 Typical High $1,479.11 | Professional | 78 · Unplanned return to OR | $724.44 | $724.44 | $1,479.11 |
Where New Jersey sits
The same service costs 4.9 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 $18,090KY $3,723
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.