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 $467.74 Median $467.74 Typical High $691.83 | Professional | None | $467.74 | $467.74 | $691.83 |
Cigna Setting Facility Modifier None Typical Low $1,659.59 Median $6,025.60 Typical High $10,964.78 | Facility | None | $1,659.59 | $6,025.60 | $10,964.78 |
Cigna Setting Professional Modifier None Typical Low $489.78 Median $630.96 Typical High $1,479.11 | Professional | None | $489.78 | $630.96 | $1,479.11 |
Emblem Health Setting Professional Modifier None Typical Low $524.81 Median $776.25 Typical High $776.25 | Professional | None | $524.81 | $776.25 | $776.25 |
Horizon BCBS Setting Facility Modifier None Typical Low $7,585.78 Median $14,125.38 Typical High $35,481.34 | Facility | None | $7,585.78 | $14,125.38 | $35,481.34 |
Horizon BCBS Setting Professional Modifier None Typical Low $537.03 Median $630.96 Typical High $1,479.11 | Professional | None | $537.03 | $630.96 | $1,479.11 |
United Setting Facility Modifier None Typical Low $707.95 Median $1,995.26 Typical High $5,754.40 | Facility | None | $707.95 | $1,995.26 | $5,754.40 |
United Setting Professional Modifier None Typical Low $371.54 Median $524.81 Typical High $1,348.96 | Professional | None | $371.54 | $524.81 | $1,348.96 |
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 $234.42 Median $234.42 Typical High $346.74 | Professional | 52 · Reduced service | $234.42 | $234.42 | $346.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $93.33 Median $93.33 Typical High $138.04 | Professional | 53 · Discontinued | $93.33 | $93.33 | $138.04 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $346.74 Median $346.74 Typical High $512.86 | Professional | 54 · Surgery only | $346.74 | $346.74 | $512.86 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $69.18 Median $69.18 Typical High $102.33 | Professional | 55 · Aftercare only | $69.18 | $69.18 | $102.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $46.77 Median $46.77 Typical High $69.18 | Professional | 56 · Pre-op care only | $46.77 | $46.77 | $69.18 |
Where New Jersey sits
The same service costs 3.9 times more in Alaska than in New York. 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· 39th of 51
$692
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.