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 $3,890.45 Median $5,888.44 Typical High $10,964.78 | Facility | None | $3,890.45 | $5,888.44 | $10,964.78 |
Aetna Setting Professional Modifier None Typical Low $707.95 Median $707.95 Typical High $1,071.52 | Professional | None | $707.95 | $707.95 | $1,071.52 |
Cigna Setting Facility Modifier None Typical Low $933.25 Median $3,162.28 Typical High $6,025.60 | Facility | None | $933.25 | $3,162.28 | $6,025.60 |
Cigna Setting Professional Modifier None Typical Low $758.58 Median $912.01 Typical High $2,344.23 | Professional | None | $758.58 | $912.01 | $2,344.23 |
Emblem Health Setting Professional Modifier None Typical Low $851.14 Median $1,230.27 Typical High $1,230.27 | Professional | None | $851.14 | $1,230.27 | $1,230.27 |
Horizon BCBS Setting Facility Modifier None Typical Low $4,168.69 Median $7,585.78 Typical High $19,952.62 | Facility | None | $4,168.69 | $7,585.78 | $19,952.62 |
Horizon BCBS Setting Professional Modifier None Typical Low $831.76 Median $977.24 Typical High $2,290.87 | Professional | None | $831.76 | $977.24 | $2,290.87 |
United Setting Facility Modifier None Typical Low $1,288.25 Median $3,388.44 Typical High $7,943.28 | Facility | None | $1,288.25 | $3,388.44 | $7,943.28 |
United Setting Professional Modifier None Typical Low $588.84 Median $831.76 Typical High $2,089.30 | Professional | None | $588.84 | $831.76 | $2,089.30 |
6 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 $354.81 Median $354.81 Typical High $537.03 | Professional | 52 · Reduced service | $354.81 | $354.81 | $537.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $141.25 Median $141.25 Typical High $213.80 | Professional | 53 · Discontinued | $141.25 | $141.25 | $213.80 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $537.03 Median $537.03 Typical High $794.33 | Professional | 54 · Surgery only | $537.03 | $537.03 | $794.33 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $107.15 Median $107.15 Typical High $158.49 | Professional | 55 · Aftercare only | $107.15 | $107.15 | $158.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $70.79 Median $70.79 Typical High $107.15 | Professional | 56 · Pre-op care only | $70.79 | $70.79 | $107.15 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $501.19 Median $501.19 Typical High $741.31 | Professional | 78 · Unplanned return to OR | $501.19 | $501.19 | $741.31 |
Where New Jersey sits
The same service costs 5.6 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· 37th of 51
$1,072
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.