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 $2,754.23 Median $5,495.41 Typical High $11,748.98 | Facility | None | $2,754.23 | $5,495.41 | $11,748.98 |
Aetna Setting Professional Modifier None Typical Low $91.20 Median $112.20 Typical High $144.54 | Professional | None | $91.20 | $112.20 | $144.54 |
Cigna Setting Facility Modifier None Typical Low $426.58 Median $776.25 Typical High $1,659.59 | Facility | None | $426.58 | $776.25 | $1,659.59 |
Cigna Setting Professional Modifier None Typical Low $109.65 Median $181.97 Typical High $524.81 | Professional | None | $109.65 | $181.97 | $524.81 |
Emblem Health Setting Professional Modifier None Typical Low $128.82 Median $177.83 Typical High $186.21 | Professional | None | $128.82 | $177.83 | $186.21 |
Horizon BCBS Setting Facility Modifier None Typical Low $616.60 Median $1,122.02 Typical High $2,630.27 | Facility | None | $616.60 | $1,122.02 | $2,630.27 |
Horizon BCBS Setting Professional Modifier None Typical Low $117.49 Median $125.89 Typical High $371.54 | Professional | None | $117.49 | $125.89 | $371.54 |
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 $100.00 Median $131.83 Typical High $549.54 | Professional | None | $100.00 | $131.83 | $549.54 |
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 $44.67 Median $56.23 Typical High $63.10 | Professional | 52 · Reduced service | $44.67 | $56.23 | $63.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $22.91 Typical High $25.12 | Professional | 53 · Discontinued | $18.20 | $22.91 | $25.12 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $67.61 Median $85.11 Typical High $95.50 | Professional | 54 · Surgery only | $67.61 | $85.11 | $95.50 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $13.49 Median $16.98 Typical High $19.05 | Professional | 55 · Aftercare only | $13.49 | $16.98 | $19.05 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.12 Median $11.22 Typical High $12.59 | Professional | 56 · Pre-op care only | $9.12 | $11.22 | $12.59 |
Where New Jersey sits
The same service costs 4.4 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· 30th of 51
$178
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.