How much rates vary
Facilitymedian $6,310 · 10th to 90th $1,288 to $19,498Professionalmedian $525 · 10th to 90th $162 to $4,571
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 $2,570.40 Median $5,248.07 Typical High $10,964.78 | Facility | None | $2,570.40 | $5,248.07 | $10,964.78 |
Aetna Setting Professional Modifier None Typical Low $158.49 Median $208.93 Typical High $239.88 | Professional | None | $158.49 | $208.93 | $239.88 |
Cigna Setting Facility Modifier None Typical Low $691.83 Median $11,220.18 Typical High $19,498.45 | Facility | None | $691.83 | $11,220.18 | $19,498.45 |
Cigna Setting Professional Modifier None Typical Low $309.03 Median $616.60 Typical High $4,570.88 | Professional | None | $309.03 | $616.60 | $4,570.88 |
Emblem Health Setting Professional Modifier None Typical Low $5,888.44 Median $8,128.31 Typical High $8,128.31 | Professional | None | $5,888.44 | $8,128.31 | $8,128.31 |
Horizon BCBS Setting Facility Modifier None Typical Low $8,317.64 Median $15,848.93 Typical High $41,686.94 | Facility | None | $8,317.64 | $15,848.93 | $41,686.94 |
Horizon BCBS Setting Professional Modifier None Typical Low $331.13 Median $1,348.96 Typical High $3,019.95 | Professional | None | $331.13 | $1,348.96 | $3,019.95 |
United Setting Facility Modifier None Typical Low $1,621.81 Median $4,897.79 Typical High $11,481.54 | Facility | None | $1,621.81 | $4,897.79 | $11,481.54 |
United Setting Professional Modifier None Typical Low $239.88 Median $602.56 Typical High $4,897.79 | Professional | None | $239.88 | $602.56 | $4,897.79 |
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 $79.43 Median $104.71 Typical High $120.23 | Professional | 52 · Reduced service | $79.43 | $104.71 | $120.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $31.62 Median $41.69 Typical High $47.86 | Professional | 53 · Discontinued | $31.62 | $41.69 | $47.86 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $120.23 Median $158.49 Typical High $177.83 | Professional | 54 · Surgery only | $120.23 | $158.49 | $177.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $23.99 Median $31.62 Typical High $35.48 | Professional | 55 · Aftercare only | $23.99 | $31.62 | $35.48 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $15.85 Median $20.89 Typical High $23.99 | Professional | 56 · Pre-op care only | $15.85 | $20.89 | $23.99 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $112.20 Median $147.91 Typical High $165.96 | Professional | 78 · Unplanned return to OR | $112.20 | $147.91 | $165.96 |
Where New Jersey sits
The same service costs 18.4 times more in Alabama than in Montana. 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
AL $30,876MT $1,679
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.