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 $6,606.93 Typical High $11,481.54 | Facility | None | $2,754.23 | $6,606.93 | $11,481.54 |
Aetna Setting Professional Modifier None Typical Low $389.05 Median $1,445.44 Typical High $1,995.26 | Professional | None | $389.05 | $1,445.44 | $1,995.26 |
Cigna Setting Facility Modifier None Typical Low $1,862.09 Median $3,019.95 Typical High $4,897.79 | Facility | None | $1,862.09 | $3,019.95 | $4,897.79 |
Cigna Setting Professional Modifier None Typical Low $323.59 Median $977.24 Typical High $2,630.27 | Professional | None | $323.59 | $977.24 | $2,630.27 |
Emblem Health Setting Professional Modifier None Typical Low $1,318.26 Median $1,949.84 Typical High $1,949.84 | Professional | None | $1,318.26 | $1,949.84 | $1,949.84 |
Horizon BCBS Setting Facility Modifier None Typical Low $1,778.28 Median $3,235.94 Typical High $11,748.98 | Facility | None | $1,778.28 | $3,235.94 | $11,748.98 |
Horizon BCBS Setting Professional Modifier None Typical Low $323.59 Median $1,584.89 Typical High $4,168.69 | Professional | None | $323.59 | $1,584.89 | $4,168.69 |
United Setting Facility Modifier None Typical Low $1,318.26 Median $3,388.44 Typical High $7,762.47 | Facility | None | $1,318.26 | $3,388.44 | $7,762.47 |
United Setting Professional Modifier None Typical Low $323.59 Median $1,071.52 Typical High $2,630.27 | Professional | None | $323.59 | $1,071.52 | $2,630.27 |
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 $194.98 Median $588.84 Typical High $1,000.00 | Professional | 52 · Reduced service | $194.98 | $588.84 | $1,000.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $77.62 Median $234.42 Typical High $398.11 | Professional | 53 · Discontinued | $77.62 | $234.42 | $398.11 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $288.40 Median $891.25 Typical High $1,513.56 | Professional | 54 · Surgery only | $288.40 | $891.25 | $1,513.56 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $57.54 Median $177.83 Typical High $302.00 | Professional | 55 · Aftercare only | $57.54 | $177.83 | $302.00 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $38.90 Median $117.49 Typical High $199.53 | Professional | 56 · Pre-op care only | $38.90 | $117.49 | $199.53 |
Where New Jersey sits
The same service costs 5.1 times more in Alaska than in Nebraska. 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· 22nd of 51
$1,585
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.