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 $2,754.23 Median $5,495.41 Typical High $11,748.98 | Facility | None | $2,754.23 | $5,495.41 | $11,748.98 |
Aetna Setting Professional Modifier None Typical Low $114.82 Median $123.03 Typical High $125.89 | Professional | None | $114.82 | $123.03 | $125.89 |
Cigna Setting Facility Modifier None Typical Low $295.12 Median $512.86 Typical High $1,659.59 | Facility | None | $295.12 | $512.86 | $1,659.59 |
Cigna Setting Professional Modifier None Typical Low $112.20 Median $134.90 Typical High $275.42 | Professional | None | $112.20 | $134.90 | $275.42 |
Emblem Health Setting Professional Modifier None Typical Low $162.18 Median $223.87 Typical High $239.88 | Professional | None | $162.18 | $223.87 | $239.88 |
Horizon BCBS Setting Facility Modifier None Typical Low $389.05 Median $707.95 Typical High $1,659.59 | Facility | None | $389.05 | $707.95 | $1,659.59 |
Horizon BCBS Setting Professional Modifier None Typical Low $162.18 Median $190.55 Typical High $245.47 | Professional | None | $162.18 | $190.55 | $245.47 |
United Setting Facility Modifier None Typical Low $309.03 Median $1,380.38 Typical High $3,890.45 | Facility | None | $309.03 | $1,380.38 | $3,890.45 |
United Setting Professional Modifier None Typical Low $123.03 Median $151.36 Typical High $190.55 | Professional | None | $123.03 | $151.36 | $190.55 |
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 $57.54 Median $61.66 Typical High $63.10 | Professional | 52 · Reduced service | $57.54 | $61.66 | $63.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $24.55 Typical High $25.12 | Professional | 53 · Discontinued | $22.91 | $24.55 | $25.12 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $85.11 Median $93.33 Typical High $93.33 | Professional | 54 · Surgery only | $85.11 | $93.33 | $93.33 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $16.98 Median $18.62 Typical High $18.62 | Professional | 55 · Aftercare only | $16.98 | $18.62 | $18.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $11.48 Median $12.30 Typical High $12.59 | Professional | 56 · Pre-op care only | $11.48 | $12.30 | $12.59 |
Where New Jersey sits
The same service costs 4.6 times more in Alaska than in Utah. 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· 46th of 51
$155
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.