How much rates vary
Facilitymedian $1,862 · 10th to 90th $603 to $6,761Professionalmedian $708 · 10th to 90th $78 to $1,413
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 $123.03 Median $4,466.84 Typical High $9,772.37 | Facility | None | $123.03 | $4,466.84 | $9,772.37 |
Aetna Setting Professional Modifier None Typical Low $123.03 Median $776.25 Typical High $1,047.13 | Professional | None | $123.03 | $776.25 | $1,047.13 |
AmeriHealth Setting Facility Modifier None Typical Low $1,995.26 Median $4,570.88 Typical High $8,317.64 | Facility | None | $1,995.26 | $4,570.88 | $8,317.64 |
Cigna Setting Facility Modifier None Typical Low $851.14 Median $1,513.56 Typical High $4,466.84 | Facility | None | $851.14 | $1,513.56 | $4,466.84 |
Cigna Setting Professional Modifier None Typical Low $89.13 Median $380.19 Typical High $1,548.82 | Professional | None | $89.13 | $380.19 | $1,548.82 |
Emblem Health Setting Professional Modifier None Typical Low $1,445.44 Median $1,995.26 Typical High $1,995.26 | Professional | None | $1,445.44 | $1,995.26 | $1,995.26 |
Horizon BCBS Setting Facility Modifier None Typical Low $1,258.93 Median $2,398.83 Typical High $6,165.95 | Facility | None | $1,258.93 | $2,398.83 | $6,165.95 |
Horizon BCBS Setting Professional Modifier None Typical Low $114.82 Median $1,288.25 Typical High $1,949.84 | Professional | None | $114.82 | $1,288.25 | $1,949.84 |
United Setting Facility Modifier None Typical Low $537.03 Median $1,584.89 Typical High $3,981.07 | Facility | None | $537.03 | $1,584.89 | $3,981.07 |
United Setting Professional Modifier None Typical Low $69.18 Median $660.69 Typical High $1,148.15 | Professional | None | $69.18 | $660.69 | $1,148.15 |
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 $60.26 Median $389.05 Typical High $524.81 | Professional | 52 · Reduced service | $60.26 | $389.05 | $524.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $154.88 Typical High $208.93 | Professional | 53 · Discontinued | $24.55 | $154.88 | $208.93 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $91.20 Median $588.84 Typical High $776.25 | Professional | 54 · Surgery only | $91.20 | $588.84 | $776.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $18.20 Median $117.49 Typical High $154.88 | Professional | 55 · Aftercare only | $18.20 | $117.49 | $154.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.30 Median $77.62 Typical High $104.71 | Professional | 56 · Pre-op care only | $12.30 | $77.62 | $104.71 |
Where New Jersey sits
The same service costs 5.5 times more in Hawaii than in Maryland. 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
HI $4,440MD $808
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.