How much rates vary
Facilitymedian $10,965 · 10th to 90th $1,698 to $50,119Professionalmedian $447 · 10th to 90th $389 to $1,072
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 $416.87 Median $6,309.57 Typical High $13,489.63 | Facility | None | $416.87 | $6,309.57 | $13,489.63 |
Aetna Setting Professional Modifier None Typical Low $407.38 Median $446.68 Typical High $758.58 | Professional | None | $407.38 | $446.68 | $758.58 |
Cigna Setting Facility Modifier None Typical Low $1,995.26 Median $30,902.95 Typical High $50,118.72 | Facility | None | $1,995.26 | $30,902.95 | $50,118.72 |
Cigna Setting Professional Modifier None Typical Low $398.11 Median $457.09 Typical High $1,071.52 | Professional | None | $398.11 | $457.09 | $1,071.52 |
Emblem Health Setting Professional Modifier None Typical Low $416.87 Median $562.34 Typical High $562.34 | Professional | None | $416.87 | $562.34 | $562.34 |
Horizon BCBS Setting Facility Modifier None Typical Low $11,748.98 Median $21,877.62 Typical High $117,489.76 | Facility | None | $11,748.98 | $21,877.62 | $117,489.76 |
Horizon BCBS Setting Professional Modifier None Typical Low $389.05 Median $457.09 Typical High $1,174.90 | Professional | None | $389.05 | $457.09 | $1,174.90 |
United Setting Facility Modifier None Typical Low $1,905.46 Median $9,332.54 Typical High $46,773.51 | Facility | None | $1,905.46 | $9,332.54 | $46,773.51 |
United Setting Professional Modifier None Typical Low $354.81 Median $457.09 Typical High $1,230.27 | Professional | None | $354.81 | $457.09 | $1,230.27 |
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 $208.93 Median $208.93 Typical High $234.42 | Professional | 52 · Reduced service | $208.93 | $208.93 | $234.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $83.18 Median $83.18 Typical High $93.33 | Professional | 53 · Discontinued | $83.18 | $83.18 | $93.33 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $316.23 Median $316.23 Typical High $346.74 | Professional | 54 · Surgery only | $316.23 | $316.23 | $346.74 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $63.10 Median $63.10 Typical High $69.18 | Professional | 55 · Aftercare only | $63.10 | $63.10 | $69.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $41.69 Median $41.69 Typical High $46.77 | Professional | 56 · Pre-op care only | $41.69 | $41.69 | $46.77 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $295.12 Median $295.12 Typical High $323.59 | Professional | 78 · Unplanned return to OR | $295.12 | $295.12 | $323.59 |
Where New Jersey sits
The same service costs 42.9 times more in Alaska than in Montana. 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 $51,741MT $1,205
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.