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 $3,715.35 Median $5,754.40 Typical High $10,471.29 | Facility | None | $3,715.35 | $5,754.40 | $10,471.29 |
Aetna Setting Professional Modifier None Typical Low $380.19 Median $407.38 Typical High $407.38 | Professional | None | $380.19 | $407.38 | $407.38 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $1,584.89 Typical High $2,290.87 | Facility | None | $741.31 | $1,584.89 | $2,290.87 |
Cigna Setting Professional Modifier None Typical Low $234.42 Median $281.84 Typical High $645.65 | Professional | None | $234.42 | $281.84 | $645.65 |
Emblem Health Setting Professional Modifier None Typical Low $363.08 Median $489.78 Typical High $537.03 | Professional | None | $363.08 | $489.78 | $537.03 |
Horizon BCBS Setting Facility Modifier None Typical Low $2,630.27 Median $4,570.88 Typical High $8,128.31 | Facility | None | $2,630.27 | $4,570.88 | $8,128.31 |
Horizon BCBS Setting Professional Modifier None Typical Low $331.13 Median $398.11 Typical High $549.54 | Professional | None | $331.13 | $398.11 | $549.54 |
United Setting Facility Modifier None Typical Low $1,122.02 Median $2,884.03 Typical High $6,760.83 | Facility | None | $1,122.02 | $2,884.03 | $6,760.83 |
United Setting Professional Modifier None Typical Low $190.55 Median $251.19 Typical High $380.19 | Professional | None | $190.55 | $251.19 | $380.19 |
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 $186.21 Median $199.53 Typical High $199.53 | Professional | 52 · Reduced service | $186.21 | $199.53 | $199.53 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $75.86 Median $81.28 Typical High $81.28 | Professional | 53 · Discontinued | $75.86 | $81.28 | $81.28 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $281.84 Median $302.00 Typical High $302.00 | Professional | 54 · Surgery only | $281.84 | $302.00 | $302.00 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $56.23 Median $60.26 Typical High $60.26 | Professional | 55 · Aftercare only | $56.23 | $60.26 | $60.26 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $38.02 Median $40.74 Typical High $40.74 | Professional | 56 · Pre-op care only | $38.02 | $40.74 | $40.74 |
Where New Jersey sits
The same service costs 4.8 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· 48th of 51
$339
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.