How much rates vary
Facilitymedian $7,943 · 10th to 90th $1,698 to $23,442Professionalmedian $1,175 · 10th to 90th $851 to $1,862
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 $1,174.90 Median $8,912.51 Typical High $23,442.29 | Facility | None | $1,174.90 | $8,912.51 | $23,442.29 |
Aetna Setting Professional Modifier None Typical Low $1,148.15 Median $1,148.15 Typical High $1,778.28 | Professional | None | $1,148.15 | $1,148.15 | $1,778.28 |
Cigna Setting Facility Modifier None Typical Low $1,995.26 Median $11,748.98 Typical High $18,620.87 | Facility | None | $1,995.26 | $11,748.98 | $18,620.87 |
Cigna Setting Professional Modifier None Typical Low $1,071.52 Median $1,258.93 Typical High $2,344.23 | Professional | None | $1,071.52 | $1,258.93 | $2,344.23 |
Emblem Health Setting Professional Modifier None Typical Low $1,230.27 Median $1,659.59 Typical High $1,659.59 | Professional | None | $1,230.27 | $1,659.59 | $1,659.59 |
Horizon BCBS Setting Facility Modifier None Typical Low $9,549.93 Median $19,054.61 Typical High $46,773.51 | Facility | None | $9,549.93 | $19,054.61 | $46,773.51 |
Horizon BCBS Setting Professional Modifier None Typical Low $1,202.26 Median $1,288.25 Typical High $1,862.09 | Professional | None | $1,202.26 | $1,288.25 | $1,862.09 |
United Setting Facility Modifier None Typical Low $1,621.81 Median $4,897.79 Typical High $22,387.21 | Facility | None | $1,621.81 | $4,897.79 | $22,387.21 |
United Setting Professional Modifier None Typical Low $776.25 Median $1,000.00 Typical High $1,584.89 | Professional | None | $776.25 | $1,000.00 | $1,584.89 |
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 $575.44 Median $575.44 Typical High $588.84 | Professional | 52 · Reduced service | $575.44 | $575.44 | $588.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $229.09 Median $229.09 Typical High $234.42 | Professional | 53 · Discontinued | $229.09 | $229.09 | $234.42 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $870.96 Median $870.96 Typical High $870.96 | Professional | 54 · Surgery only | $870.96 | $870.96 | $870.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $173.78 Median $173.78 Typical High $173.78 | Professional | 55 · Aftercare only | $173.78 | $173.78 | $173.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $114.82 Median $114.82 Typical High $117.49 | Professional | 56 · Pre-op care only | $114.82 | $114.82 | $117.49 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $812.83 Median $812.83 Typical High $812.83 | Professional | 78 · Unplanned return to OR | $812.83 | $812.83 | $812.83 |
Where New Jersey sits
The same service costs 10.4 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 $29,118KY $2,808
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.