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 $2,754.23 Median $5,754.40 Typical High $10,471.29 | Facility | None | $2,754.23 | $5,754.40 | $10,471.29 |
Aetna Setting Professional Modifier None Typical Low $109.65 Median $173.78 Typical High $218.78 | Professional | None | $109.65 | $173.78 | $218.78 |
Cigna Setting Facility Modifier None Typical Low $933.25 Median $2,238.72 Typical High $3,715.35 | Facility | None | $933.25 | $2,238.72 | $3,715.35 |
Cigna Setting Professional Modifier None Typical Low $85.11 Median $165.96 Typical High $416.87 | Professional | None | $85.11 | $165.96 | $416.87 |
Emblem Health Setting Professional Modifier None Typical Low $234.42 Median $354.81 Typical High $354.81 | Professional | None | $234.42 | $354.81 | $354.81 |
Horizon BCBS Setting Facility Modifier None Typical Low $2,454.71 Median $4,677.35 Typical High $15,135.61 | Facility | None | $2,454.71 | $4,677.35 | $15,135.61 |
Horizon BCBS Setting Professional Modifier None Typical Low $120.23 Median $245.47 Typical High $562.34 | Professional | None | $120.23 | $245.47 | $562.34 |
United Setting Facility Modifier None Typical Low $1,122.02 Median $2,884.03 Typical High $6,918.31 | Facility | None | $1,122.02 | $2,884.03 | $6,918.31 |
United Setting Professional Modifier None Typical Low $89.13 Median $173.78 Typical High $389.05 | Professional | None | $89.13 | $173.78 | $389.05 |
5 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 $54.95 Median $87.10 Typical High $107.15 | Professional | 52 · Reduced service | $54.95 | $87.10 | $107.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $34.67 Typical High $43.65 | Professional | 53 · Discontinued | $21.88 | $34.67 | $43.65 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $81.28 Median $128.82 Typical High $162.18 | Professional | 54 · Surgery only | $81.28 | $128.82 | $162.18 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $16.22 Median $26.30 Typical High $32.36 | Professional | 55 · Aftercare only | $16.22 | $26.30 | $32.36 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.96 Median $17.38 Typical High $21.88 | Professional | 56 · Pre-op care only | $10.96 | $17.38 | $21.88 |
Where New Jersey sits
The same service costs 3.7 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.
New Jersey· 47th of 51
$209
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.