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 $3,890.45 Median $5,888.44 Typical High $10,964.78 | Facility | None | $3,890.45 | $5,888.44 | $10,964.78 |
Aetna Setting Professional Modifier None Typical Low $933.25 Median $933.25 Typical High $1,148.15 | Professional | None | $933.25 | $933.25 | $1,148.15 |
Cigna Setting Facility Modifier None Typical Low $933.25 Median $2,137.96 Typical High $3,162.28 | Facility | None | $933.25 | $2,137.96 | $3,162.28 |
Cigna Setting Professional Modifier None Typical Low $741.31 Median $891.25 Typical High $1,698.24 | Professional | None | $741.31 | $891.25 | $1,698.24 |
Emblem Health Setting Professional Modifier None Typical Low $1,230.27 Median $1,659.59 Typical High $1,819.70 | Professional | None | $1,230.27 | $1,659.59 | $1,819.70 |
Horizon BCBS Setting Facility Modifier None Typical Low $2,290.87 Median $4,073.80 Typical High $11,220.18 | Facility | None | $2,290.87 | $4,073.80 | $11,220.18 |
Horizon BCBS Setting Professional Modifier None Typical Low $1,071.52 Median $1,258.93 Typical High $1,659.59 | Professional | None | $1,071.52 | $1,258.93 | $1,659.59 |
United Setting Facility Modifier None Typical Low $1,288.25 Median $3,388.44 Typical High $7,762.47 | Facility | None | $1,288.25 | $3,388.44 | $7,762.47 |
United Setting Professional Modifier None Typical Low $660.69 Median $776.25 Typical High $1,148.15 | Professional | None | $660.69 | $776.25 | $1,148.15 |
6 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 $467.74 Median $467.74 Typical High $549.54 | Professional | 52 · Reduced service | $467.74 | $467.74 | $549.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $190.55 Median $190.55 Typical High $218.78 | Professional | 53 · Discontinued | $190.55 | $190.55 | $218.78 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $707.95 Median $707.95 Typical High $812.83 | Professional | 54 · Surgery only | $707.95 | $707.95 | $812.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $141.25 Median $141.25 Typical High $165.96 | Professional | 55 · Aftercare only | $141.25 | $141.25 | $165.96 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $93.33 Median $93.33 Typical High $109.65 | Professional | 56 · Pre-op care only | $93.33 | $93.33 | $109.65 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $660.69 Median $660.69 Typical High $758.58 | Professional | 78 · Unplanned return to OR | $660.69 | $660.69 | $758.58 |
Where New Jersey sits
The same service costs 5.2 times more in Alaska than in Texas. 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· 47th of 51
$933
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.