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 $4,466.84 Median $10,471.29 Typical High $14,791.08 | Facility | None | $4,466.84 | $10,471.29 | $14,791.08 |
Aetna Setting Professional Modifier None Typical Low $467.74 Median $660.69 Typical High $691.83 | Professional | None | $467.74 | $660.69 | $691.83 |
Cigna Setting Facility Modifier None Typical Low $1,071.52 Median $2,137.96 Typical High $3,019.95 | Facility | None | $1,071.52 | $2,137.96 | $3,019.95 |
Cigna Setting Professional Modifier None Typical Low $371.54 Median $426.58 Typical High $1,445.44 | Professional | None | $371.54 | $426.58 | $1,445.44 |
Emblem Health Setting Professional Modifier None Typical Low $426.58 Median $549.54 Typical High $575.44 | Professional | None | $426.58 | $549.54 | $575.44 |
Horizon BCBS Setting Professional Modifier None Typical Low $380.19 Median $446.68 Typical High $1,513.56 | Professional | None | $380.19 | $446.68 | $1,513.56 |
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 $354.81 Median $467.74 Typical High $1,174.90 | Professional | None | $354.81 | $467.74 | $1,174.90 |
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 $234.42 Median $331.13 Typical High $331.13 | Professional | 52 · Reduced service | $234.42 | $331.13 | $331.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $93.33 Median $131.83 Typical High $131.83 | Professional | 53 · Discontinued | $93.33 | $131.83 | $131.83 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $346.74 Median $501.19 Typical High $501.19 | Professional | 54 · Surgery only | $346.74 | $501.19 | $501.19 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $69.18 Median $100.00 Typical High $100.00 | Professional | 55 · Aftercare only | $69.18 | $100.00 | $100.00 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $46.77 Median $66.07 Typical High $66.07 | Professional | 56 · Pre-op care only | $46.77 | $66.07 | $66.07 |
Where New Jersey sits
The same service costs 3.7 times more in Wisconsin than in New York. 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· 31st of 51
$661
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.