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 $4,265.80 Median $6,606.93 Typical High $11,481.54 | Facility | None | $4,265.80 | $6,606.93 | $11,481.54 |
Aetna Setting Professional Modifier None Typical Low $288.40 Median $288.40 Typical High $416.87 | Professional | None | $288.40 | $288.40 | $416.87 |
Cigna Setting Facility Modifier None Typical Low $1,174.90 Median $2,691.53 Typical High $3,981.07 | Facility | None | $1,174.90 | $2,691.53 | $3,981.07 |
Cigna Setting Professional Modifier None Typical Low $302.00 Median $407.38 Typical High $912.01 | Professional | None | $302.00 | $407.38 | $912.01 |
Emblem Health Setting Professional Modifier None Typical Low $338.84 Median $478.63 Typical High $478.63 | Professional | None | $338.84 | $478.63 | $478.63 |
Horizon BCBS Setting Facility Modifier None Typical Low $2,630.27 Median $5,011.87 Typical High $13,182.57 | Facility | None | $2,630.27 | $5,011.87 | $13,182.57 |
Horizon BCBS Setting Professional Modifier None Typical Low $331.13 Median $389.05 Typical High $954.99 | Professional | None | $331.13 | $389.05 | $954.99 |
United Setting Facility Modifier None Typical Low $1,122.02 Median $2,884.03 Typical High $6,760.83 | Facility | None | $1,122.02 | $2,884.03 | $6,760.83 |
United Setting Professional Modifier None Typical Low $229.09 Median $323.59 Typical High $831.76 | Professional | None | $229.09 | $323.59 | $831.76 |
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 $144.54 Median $144.54 Typical High $208.93 | Professional | 52 · Reduced service | $144.54 | $144.54 | $208.93 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $57.54 Median $57.54 Typical High $83.18 | Professional | 53 · Discontinued | $57.54 | $57.54 | $83.18 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $218.78 Median $218.78 Typical High $316.23 | Professional | 54 · Surgery only | $218.78 | $218.78 | $316.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $43.65 Median $43.65 Typical High $63.10 | Professional | 55 · Aftercare only | $43.65 | $43.65 | $63.10 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $28.84 Median $28.84 Typical High $41.69 | Professional | 56 · Pre-op care only | $28.84 | $28.84 | $41.69 |
Where New Jersey sits
The same service costs 4.7 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
$468
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.