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 $3,162.28 Median $5,248.07 Typical High $10,964.78 | Facility | None | $3,162.28 | $5,248.07 | $10,964.78 |
Aetna Setting Professional Modifier None Typical Low $436.52 Median $436.52 Typical High $645.65 | Professional | None | $436.52 | $436.52 | $645.65 |
Cigna Setting Facility Modifier None Typical Low $338.84 Median $630.96 Typical High $1,659.59 | Facility | None | $338.84 | $630.96 | $1,659.59 |
Cigna Setting Professional Modifier None Typical Low $457.09 Median $602.56 Typical High $1,412.54 | Professional | None | $457.09 | $602.56 | $1,412.54 |
Emblem Health Setting Professional Modifier None Typical Low $501.19 Median $724.44 Typical High $724.44 | Professional | None | $501.19 | $724.44 | $724.44 |
Horizon BCBS Setting Facility Modifier None Typical Low $524.81 Median $891.25 Typical High $2,630.27 | Facility | None | $524.81 | $891.25 | $2,630.27 |
Horizon BCBS Setting Professional Modifier None Typical Low $501.19 Median $588.84 Typical High $1,380.38 | Professional | None | $501.19 | $588.84 | $1,380.38 |
United Setting Facility Modifier None Typical Low $537.03 Median $1,548.82 Typical High $3,981.07 | Facility | None | $537.03 | $1,548.82 | $3,981.07 |
United Setting Professional Modifier None Typical Low $346.74 Median $489.78 Typical High $1,288.25 | Professional | None | $346.74 | $489.78 | $1,288.25 |
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 $218.78 Median $218.78 Typical High $323.59 | Professional | 52 · Reduced service | $218.78 | $218.78 | $323.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $89.13 Median $89.13 Typical High $128.82 | Professional | 53 · Discontinued | $89.13 | $89.13 | $128.82 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $331.13 Median $331.13 Typical High $489.78 | Professional | 54 · Surgery only | $331.13 | $331.13 | $489.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $66.07 Median $66.07 Typical High $97.72 | Professional | 55 · Aftercare only | $66.07 | $66.07 | $97.72 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $43.65 Median $43.65 Typical High $64.57 | Professional | 56 · Pre-op care only | $43.65 | $43.65 | $64.57 |
Where New Jersey sits
The same service costs 4.0 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· 40th of 51
$589
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.