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 $83.18 Median $6,918.31 Typical High $12,882.50 | Facility | None | $83.18 | $6,918.31 | $12,882.50 |
Aetna Setting Professional Modifier None Typical Low $66.07 Median $74.13 Typical High $85.11 | Professional | None | $66.07 | $74.13 | $85.11 |
Cigna Setting Facility Modifier None Typical Low $43.65 Median $75.86 Typical High $354.81 | Facility | None | $43.65 | $75.86 | $354.81 |
Cigna Setting Professional Modifier None Typical Low $48.98 Median $61.66 Typical High $107.15 | Professional | None | $48.98 | $61.66 | $107.15 |
Emblem Health Setting Professional Modifier None Typical Low $95.50 Median $125.89 Typical High $125.89 | Professional | None | $95.50 | $125.89 | $125.89 |
Horizon BCBS Setting Facility Modifier None Typical Low $57.54 Median $104.71 Typical High $1,288.25 | Facility | None | $57.54 | $104.71 | $1,288.25 |
Horizon BCBS Setting Professional Modifier None Typical Low $57.54 Median $81.28 Typical High $134.90 | Professional | None | $57.54 | $81.28 | $134.90 |
United Setting Facility Modifier None Typical Low $316.23 Median $1,380.38 Typical High $3,801.89 | Facility | None | $316.23 | $1,380.38 | $3,801.89 |
United Setting Professional Modifier None Typical Low $43.65 Median $61.66 Typical High $83.18 | Professional | None | $43.65 | $61.66 | $83.18 |
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 $33.11 Median $37.15 Typical High $41.69 | Professional | 52 · Reduced service | $33.11 | $37.15 | $41.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.18 Median $14.79 Typical High $16.60 | Professional | 53 · Discontinued | $13.18 | $14.79 | $16.60 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $50.12 Median $56.23 Typical High $61.66 | Professional | 54 · Surgery only | $50.12 | $56.23 | $61.66 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.00 Median $11.22 Typical High $12.59 | Professional | 55 · Aftercare only | $10.00 | $11.22 | $12.59 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.61 Median $7.41 Typical High $8.32 | Professional | 56 · Pre-op care only | $6.61 | $7.41 | $8.32 |
Where New Jersey sits
The same service costs 3.8 times more in Alaska than in Florida. 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· 44th of 51
$72.44
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.