How much rates vary
Facilitymedian $2,188 · 10th to 90th $955 to $6,761Professionalmedian $794 · 10th to 90th $575 to $1,122
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 $2,754.23 Median $5,495.41 Typical High $11,748.98 | Facility | None | $2,754.23 | $5,495.41 | $11,748.98 |
Aetna Setting Professional Modifier None Typical Low $776.25 Median $794.33 Typical High $794.33 | Professional | None | $776.25 | $794.33 | $794.33 |
Cigna Setting Facility Modifier None Typical Low $954.99 Median $1,698.24 Typical High $2,691.53 | Facility | None | $954.99 | $1,698.24 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $741.31 Median $812.83 Typical High $1,584.89 | Professional | None | $741.31 | $812.83 | $1,584.89 |
Emblem Health Setting Professional Modifier None Typical Low $707.95 Median $1,096.48 Typical High $1,096.48 | Professional | None | $707.95 | $1,096.48 | $1,096.48 |
Horizon BCBS Setting Facility Modifier None Typical Low $1,148.15 Median $2,187.76 Typical High $6,456.54 | Facility | None | $1,148.15 | $2,187.76 | $6,456.54 |
Horizon BCBS Setting Professional Modifier None Typical Low $776.25 Median $851.14 Typical High $1,230.27 | Professional | None | $776.25 | $851.14 | $1,230.27 |
United Setting Facility Modifier None Typical Low $724.44 Median $1,995.26 Typical High $5,623.41 | Facility | None | $724.44 | $1,995.26 | $5,623.41 |
United Setting Professional Modifier None Typical Low $524.81 Median $660.69 Typical High $1,047.13 | Professional | None | $524.81 | $660.69 | $1,047.13 |
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 $389.05 Median $398.11 Typical High $398.11 | Professional | 52 · Reduced service | $389.05 | $398.11 | $398.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $154.88 Median $158.49 Typical High $158.49 | Professional | 53 · Discontinued | $154.88 | $158.49 | $158.49 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $575.44 Median $602.56 Typical High $602.56 | Professional | 54 · Surgery only | $575.44 | $602.56 | $602.56 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $114.82 Median $120.23 Typical High $120.23 | Professional | 55 · Aftercare only | $114.82 | $120.23 | $120.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $77.62 Median $79.43 Typical High $79.43 | Professional | 56 · Pre-op care only | $77.62 | $79.43 | $79.43 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $537.03 Median $562.34 Typical High $562.34 | Professional | 78 · Unplanned return to OR | $537.03 | $562.34 | $562.34 |
Where New Jersey sits
The same service costs 4.3 times more in Alaska than in Alabama. 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 $6,582AL $1,537
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.