How much rates vary
Facilitymedian $4,467 · 10th to 90th $851 to $13,490Professionalmedian $851 · 10th to 90th $661 to $1,950
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 $851.14 Median $8,511.38 Typical High $19,952.62 | Facility | None | $851.14 | $8,511.38 | $19,952.62 |
Aetna Setting Professional Modifier None Typical Low $602.56 Median $851.14 Typical High $1,445.44 | Professional | None | $602.56 | $851.14 | $1,445.44 |
AmeriHealth Setting Facility Modifier None Typical Low $524.81 Median $3,890.45 Typical High $100,000.00 | Facility | None | $524.81 | $3,890.45 | $100,000.00 |
Cigna Setting Facility Modifier None Typical Low $1,023.29 Median $2,137.96 Typical High $2,818.38 | Facility | None | $1,023.29 | $2,137.96 | $2,818.38 |
Cigna Setting Professional Modifier None Typical Low $758.58 Median $870.96 Typical High $2,089.30 | Professional | None | $758.58 | $870.96 | $2,089.30 |
Emblem Health Setting Professional Modifier None Typical Low $691.83 Median $977.24 Typical High $977.24 | Professional | None | $691.83 | $977.24 | $977.24 |
Horizon BCBS Setting Professional Modifier None Typical Low $831.76 Median $891.25 Typical High $2,238.72 | Professional | None | $831.76 | $891.25 | $2,238.72 |
United Setting Facility Modifier None Typical Low $1,548.82 Median $4,073.80 Typical High $9,772.37 | Facility | None | $1,548.82 | $4,073.80 | $9,772.37 |
United Setting Professional Modifier None Typical Low $660.69 Median $851.14 Typical High $2,238.72 | Professional | None | $660.69 | $851.14 | $2,238.72 |
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 $426.58 Median $426.58 Typical High $446.68 | Professional | 52 · Reduced service | $426.58 | $426.58 | $446.68 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $169.82 Median $173.78 Typical High $177.83 | Professional | 53 · Discontinued | $169.82 | $173.78 | $177.83 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $645.65 Median $645.65 Typical High $660.69 | Professional | 54 · Surgery only | $645.65 | $645.65 | $660.69 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $128.82 Median $128.82 Typical High $131.83 | Professional | 55 · Aftercare only | $128.82 | $128.82 | $131.83 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $85.11 Median $85.11 Typical High $89.13 | Professional | 56 · Pre-op care only | $85.11 | $85.11 | $89.13 |
Where New Jersey sits
The same service costs 8.4 times more in Alabama 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
AL $15,863KY $1,884
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.