How much rates vary
Facilitymedian $4,571 · 10th to 90th $1,148 to $10,233Professionalmedian $447 · 10th to 90th $282 to $708
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 $501.19 Median $6,309.57 Typical High $10,471.29 | Facility | None | $501.19 | $6,309.57 | $10,471.29 |
Aetna Setting Professional Modifier None Typical Low $501.19 Median $501.19 Typical High $562.34 | Professional | None | $501.19 | $501.19 | $562.34 |
AmeriHealth Setting Facility Modifier None Typical Low $3,311.31 Median $7,079.46 Typical High $11,748.98 | Facility | None | $3,311.31 | $7,079.46 | $11,748.98 |
AmeriHealth Setting Professional Modifier None Typical Low $489.78 Median $616.60 Typical High $1,071.52 | Professional | None | $489.78 | $616.60 | $1,071.52 |
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 $316.23 Median $380.19 Typical High $812.83 | Professional | None | $316.23 | $380.19 | $812.83 |
Emblem Health Setting Professional Modifier None Typical Low $489.78 Median $660.69 Typical High $724.44 | Professional | None | $489.78 | $660.69 | $724.44 |
Horizon BCBS Setting Facility Modifier None Typical Low $3,467.37 Median $6,606.93 Typical High $24,547.09 | Facility | None | $3,467.37 | $6,606.93 | $24,547.09 |
Horizon BCBS Setting Professional Modifier None Typical Low $446.68 Median $537.03 Typical High $741.31 | Professional | None | $446.68 | $537.03 | $741.31 |
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 $257.04 Median $338.84 Typical High $512.86 | Professional | None | $257.04 | $338.84 | $512.86 |
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 $245.47 Median $245.47 Typical High $251.19 | Professional | 52 · Reduced service | $245.47 | $245.47 | $251.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $100.00 Median $100.00 Typical High $100.00 | Professional | 53 · Discontinued | $100.00 | $100.00 | $100.00 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $371.54 Median $371.54 Typical High $371.54 | Professional | 54 · Surgery only | $371.54 | $371.54 | $371.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $74.13 Median $74.13 Typical High $74.13 | Professional | 55 · Aftercare only | $74.13 | $74.13 | $74.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $50.12 Median $50.12 Typical High $50.12 | Professional | 56 · Pre-op care only | $50.12 | $50.12 | $50.12 |
Where New Jersey sits
The same service costs 5.9 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 $8,723MT $1,483
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.