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 $4,365.16 Median $6,918.31 Typical High $13,803.84 | Facility | None | $4,365.16 | $6,918.31 | $13,803.84 |
Aetna Setting Professional Modifier None Typical Low $1,318.26 Median $1,318.26 Typical High $1,862.09 | Professional | None | $1,318.26 | $1,318.26 | $1,862.09 |
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 $1,513.56 Median $1,621.81 Typical High $3,890.45 | Professional | None | $1,513.56 | $1,621.81 | $3,890.45 |
Emblem Health Setting Professional Modifier None Typical Low $1,621.81 Median $2,238.72 Typical High $2,344.23 | Professional | None | $1,621.81 | $2,238.72 | $2,344.23 |
Horizon BCBS Setting Professional Modifier None Typical Low $1,479.11 Median $1,737.80 Typical High $4,570.88 | Professional | None | $1,479.11 | $1,737.80 | $4,570.88 |
United Setting Facility Modifier None Typical Low $331.13 Median $1,479.11 Typical High $5,495.41 | Facility | None | $331.13 | $1,479.11 | $5,495.41 |
United Setting Professional Modifier None Typical Low $1,348.96 Median $1,737.80 Typical High $4,677.35 | Professional | None | $1,348.96 | $1,737.80 | $4,677.35 |
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 $660.69 Median $660.69 Typical High $891.25 | Professional | 52 · Reduced service | $660.69 | $660.69 | $891.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $263.03 Median $263.03 Typical High $363.08 | Professional | 53 · Discontinued | $263.03 | $263.03 | $363.08 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $977.24 Median $977.24 Typical High $1,348.96 | Professional | 54 · Surgery only | $977.24 | $977.24 | $1,348.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $194.98 Median $194.98 Typical High $269.15 | Professional | 55 · Aftercare only | $194.98 | $194.98 | $269.15 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $131.83 Median $131.83 Typical High $181.97 | Professional | 56 · Pre-op care only | $131.83 | $131.83 | $181.97 |
Where New Jersey sits
The same service costs 4.7 times more in Alaska than in Delaware. 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· 41st of 51
$1,738
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.