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 $12,882.50 | Facility | None | $4,365.16 | $6,918.31 | $12,882.50 |
Aetna Setting Professional Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $2,691.53 | Professional | None | $1,122.02 | $1,122.02 | $2,691.53 |
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 $2,089.30 Median $2,137.96 Typical High $4,570.88 | Professional | None | $2,089.30 | $2,137.96 | $4,570.88 |
Emblem Health Setting Professional Modifier None Typical Low $3,548.13 Median $4,786.30 Typical High $5,011.87 | Professional | None | $3,548.13 | $4,786.30 | $5,011.87 |
Horizon BCBS Setting Professional Modifier None Typical Low $2,454.71 Median $2,884.03 Typical High $7,413.10 | Professional | None | $2,454.71 | $2,884.03 | $7,413.10 |
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 $2,089.30 Median $3,467.37 Typical High $7,585.78 | Professional | None | $2,089.30 | $3,467.37 | $7,585.78 |
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 $562.34 Median $562.34 Typical High $1,348.96 | Professional | 52 · Reduced service | $562.34 | $562.34 | $1,348.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $223.87 Median $223.87 Typical High $537.03 | Professional | 53 · Discontinued | $223.87 | $223.87 | $537.03 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $831.76 Median $831.76 Typical High $2,041.74 | Professional | 54 · Surgery only | $831.76 | $831.76 | $2,041.74 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $169.82 Median $169.82 Typical High $407.38 | Professional | 55 · Aftercare only | $169.82 | $169.82 | $407.38 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $112.20 Median $112.20 Typical High $269.15 | Professional | 56 · Pre-op care only | $112.20 | $112.20 | $269.15 |
Where New Jersey sits
The same service costs 5.6 times more in Alaska than in South Carolina. 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· 40th of 51
$2,455
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.