How much rates vary
Facilitymedian $2,754 · 10th to 90th $692 to $6,918Professionalmedian $389 · 10th to 90th $302 to $891
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 $302.00 Median $302.00 Typical High $457.09 | Professional | None | $302.00 | $302.00 | $457.09 |
Cigna Setting Facility Modifier None Typical Low $691.83 Median $2,754.23 Typical High $4,786.30 | Facility | None | $691.83 | $2,754.23 | $4,786.30 |
Cigna Setting Professional Modifier None Typical Low $323.59 Median $426.58 Typical High $977.24 | Professional | None | $323.59 | $426.58 | $977.24 |
Emblem Health Setting Professional Modifier None Typical Low $346.74 Median $512.86 Typical High $512.86 | Professional | None | $346.74 | $512.86 | $512.86 |
Horizon BCBS Setting Facility Modifier None Typical Low $2,818.38 Median $5,011.87 Typical High $13,182.57 | Facility | None | $2,818.38 | $5,011.87 | $13,182.57 |
Horizon BCBS Setting Professional Modifier None Typical Low $354.81 Median $416.87 Typical High $954.99 | Professional | None | $354.81 | $416.87 | $954.99 |
United Setting Facility Modifier None Typical Low $537.03 Median $1,548.82 Typical High $4,168.69 | Facility | None | $537.03 | $1,548.82 | $4,168.69 |
United Setting Professional Modifier None Typical Low $245.47 Median $346.74 Typical High $891.25 | Professional | None | $245.47 | $346.74 | $891.25 |
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 $151.36 Median $151.36 Typical High $229.09 | Professional | 52 · Reduced service | $151.36 | $151.36 | $229.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $61.66 Median $61.66 Typical High $91.20 | Professional | 53 · Discontinued | $61.66 | $61.66 | $91.20 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $229.09 Median $229.09 Typical High $338.84 | Professional | 54 · Surgery only | $229.09 | $229.09 | $338.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $45.71 Median $45.71 Typical High $67.61 | Professional | 55 · Aftercare only | $45.71 | $45.71 | $67.61 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $30.20 Median $30.20 Typical High $45.71 | Professional | 56 · Pre-op care only | $30.20 | $30.20 | $45.71 |
Where New Jersey sits
The same service costs 5.2 times more in Alaska than in Delaware. 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 $4,868DE $935
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.