How much rates vary
Facilitymedian $4,266 · 10th to 90th $1,023 to $9,772Professionalmedian $447 · 10th to 90th $269 to $692
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 $478.63 Median $6,165.95 Typical High $10,471.29 | Facility | None | $478.63 | $6,165.95 | $10,471.29 |
Aetna Setting Professional Modifier None Typical Low $478.63 Median $478.63 Typical High $602.56 | Professional | None | $478.63 | $478.63 | $602.56 |
Ambetter Setting Professional Modifier None Typical Low $398.11 Median $398.11 Typical High $416.87 | Professional | None | $398.11 | $398.11 | $416.87 |
AmeriHealth Setting Professional Modifier None Typical Low $436.52 Median $588.84 Typical High $1,348.96 | Professional | None | $436.52 | $588.84 | $1,348.96 |
Cigna Setting Facility Modifier None Typical Low $3,090.30 Median $5,370.32 Typical High $8,128.31 | Facility | None | $3,090.30 | $5,370.32 | $8,128.31 |
Cigna Setting Professional Modifier None Typical Low $302.00 Median $363.08 Typical High $776.25 | Professional | None | $302.00 | $363.08 | $776.25 |
Emblem Health Setting Professional Modifier None Typical Low $467.74 Median $630.96 Typical High $691.83 | Professional | None | $467.74 | $630.96 | $691.83 |
Horizon BCBS Setting Facility Modifier None Typical Low $3,630.78 Median $6,606.93 Typical High $24,547.09 | Facility | None | $3,630.78 | $6,606.93 | $24,547.09 |
Horizon BCBS Setting Professional Modifier None Typical Low $436.52 Median $524.81 Typical High $707.95 | Professional | None | $436.52 | $524.81 | $707.95 |
United Setting Facility Modifier None Typical Low $1,122.02 Median $2,818.38 Typical High $6,918.31 | Facility | None | $1,122.02 | $2,818.38 | $6,918.31 |
United Setting Professional Modifier None Typical Low $245.47 Median $323.59 Typical High $489.78 | Professional | None | $245.47 | $323.59 | $489.78 |
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 $239.88 Median $239.88 Typical High $239.88 | Professional | 52 · Reduced service | $239.88 | $239.88 | $239.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $95.50 Median $95.50 Typical High $95.50 | Professional | 53 · Discontinued | $95.50 | $95.50 | $95.50 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $354.81 Median $354.81 Typical High $363.08 | Professional | 54 · Surgery only | $354.81 | $354.81 | $363.08 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $70.79 Median $70.79 Typical High $72.44 | Professional | 55 · Aftercare only | $70.79 | $70.79 | $72.44 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $47.86 Median $47.86 Typical High $47.86 | Professional | 56 · Pre-op care only | $47.86 | $47.86 | $47.86 |
Where New Jersey sits
The same service costs 6.1 times more in Alaska than in Montana. 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.
Physician feeFacility fee
AK $8,625MT $1,416
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.