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 $3,162.28 Median $5,248.07 Typical High $10,964.78 | Facility | None | $3,162.28 | $5,248.07 | $10,964.78 |
Aetna Setting Professional Modifier None Typical Low $144.54 Median $213.80 Typical High $213.80 | Professional | None | $144.54 | $213.80 | $213.80 |
Cigna Setting Facility Modifier None Typical Low $691.83 Median $1,412.54 Typical High $2,290.87 | Facility | None | $691.83 | $1,412.54 | $2,290.87 |
Cigna Setting Professional Modifier None Typical Low $89.13 Median $107.15 Typical High $288.40 | Professional | None | $89.13 | $107.15 | $288.40 |
Emblem Health Setting Professional Modifier None Typical Low $138.04 Median $190.55 Typical High $208.93 | Professional | None | $138.04 | $190.55 | $208.93 |
Horizon BCBS Setting Facility Modifier None Typical Low $1,412.54 Median $2,570.40 Typical High $7,762.47 | Facility | None | $1,412.54 | $2,570.40 | $7,762.47 |
Horizon BCBS Setting Professional Modifier None Typical Low $125.89 Median $151.36 Typical High $251.19 | Professional | None | $125.89 | $151.36 | $251.19 |
United Setting Facility Modifier None Typical Low $707.95 Median $1,995.26 Typical High $5,623.41 | Facility | None | $707.95 | $1,995.26 | $5,623.41 |
United Setting Professional Modifier None Typical Low $74.13 Median $97.72 Typical High $181.97 | Professional | None | $74.13 | $97.72 | $181.97 |
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 $72.44 Median $107.15 Typical High $107.15 | Professional | 52 · Reduced service | $72.44 | $107.15 | $107.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $42.66 Typical High $42.66 | Professional | 53 · Discontinued | $28.84 | $42.66 | $42.66 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $109.65 Median $158.49 Typical High $158.49 | Professional | 54 · Surgery only | $109.65 | $158.49 | $158.49 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $21.88 Median $31.62 Typical High $31.62 | Professional | 55 · Aftercare only | $21.88 | $31.62 | $31.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $14.45 Median $21.38 Typical High $21.38 | Professional | 56 · Pre-op care only | $14.45 | $21.38 | $21.38 |
Where New Jersey sits
The same service costs 5.4 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
$141
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.