How much rates vary
Facilitymedian $5,754 · 10th to 90th $1,622 to $12,589Professionalmedian $1,175 · 10th to 90th $851 to $1,778
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 $6,918.31 Typical High $12,022.64 | Facility | None | $1,174.90 | $6,918.31 | $12,022.64 |
Aetna Setting Professional Modifier None Typical Low $1,174.90 Median $1,174.90 Typical High $1,174.90 | Professional | None | $1,174.90 | $1,174.90 | $1,174.90 |
Cigna Setting Facility Modifier None Typical Low $1,995.26 Median $6,606.93 Typical High $10,964.78 | Facility | None | $1,995.26 | $6,606.93 | $10,964.78 |
Cigna Setting Professional Modifier None Typical Low $1,096.48 Median $1,258.93 Typical High $2,398.83 | Professional | None | $1,096.48 | $1,258.93 | $2,398.83 |
Emblem Health Setting Professional Modifier None Typical Low $1,071.52 Median $1,659.59 Typical High $1,659.59 | Professional | None | $1,071.52 | $1,659.59 | $1,659.59 |
Horizon BCBS Setting Facility Modifier None Typical Low $2,951.21 Median $5,495.41 Typical High $29,512.09 | Facility | None | $2,951.21 | $5,495.41 | $29,512.09 |
Horizon BCBS Setting Professional Modifier None Typical Low $1,174.90 Median $1,288.25 Typical High $1,862.09 | Professional | None | $1,174.90 | $1,288.25 | $1,862.09 |
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 $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 $588.84 Typical High $588.84 | Professional | 52 · Reduced service | $575.44 | $588.84 | $588.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $234.42 Median $234.42 Typical High $234.42 | Professional | 53 · Discontinued | $234.42 | $234.42 | $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 $117.49 Median $117.49 Typical High $117.49 | Professional | 56 · Pre-op care only | $117.49 | $117.49 | $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 5.1 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 $14,343KY $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.