How much rates vary
Facilitymedian $4,467 · 10th to 90th $1,202 to $14,791Professionalmedian $832 · 10th to 90th $676 to $1,738
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 $851.14 Median $6,456.54 Typical High $19,498.45 | Facility | None | $851.14 | $6,456.54 | $19,498.45 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $251.19 Median $251.19 Typical High $257.04 | Facility | 26 · Professional part | $251.19 | $251.19 | $257.04 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $575.44 Median $588.84 Typical High $588.84 | Facility | TC · Technical part | $575.44 | $588.84 | $588.84 |
Aetna Setting Professional Modifier None (both parts) Typical Low $691.83 Median $831.76 Typical High $1,318.26 | Professional | None (both parts) | $691.83 | $831.76 | $1,318.26 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $213.80 Median $257.04 Typical High $295.12 | Professional | 26 · Professional part | $213.80 | $257.04 | $295.12 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $478.63 Median $575.44 Typical High $707.95 | Professional | TC · Technical part | $478.63 | $575.44 | $707.95 |
AmeriHealth Setting Facility Modifier None Typical Low $3,162.28 Median $10,232.93 Typical High $18,197.01 | Facility | None | $3,162.28 | $10,232.93 | $18,197.01 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $245.47 Median $316.23 Typical High $416.87 | Professional | 26 · Professional part | $245.47 | $316.23 | $416.87 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $1,202.26 Typical High $3,467.37 | Facility | None | $501.19 | $1,202.26 | $3,467.37 |
Cigna Setting Professional Modifier None (both parts) Typical Low $676.08 Median $724.44 Typical High $1,621.81 | Professional | None (both parts) | $676.08 | $724.44 | $1,621.81 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $213.80 Median $245.47 Typical High $478.63 | Professional | 26 · Professional part | $213.80 | $245.47 | $478.63 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $457.09 Median $478.63 Typical High $1,122.02 | Professional | TC · Technical part | $457.09 | $478.63 | $1,122.02 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $707.95 Median $1,000.00 Typical High $1,000.00 | Professional | None (both parts) | $707.95 | $1,000.00 | $1,000.00 |
Horizon BCBS Setting Facility Modifier None Typical Low $2,630.27 Median $4,677.35 Typical High $12,882.50 | Facility | None | $2,630.27 | $4,677.35 | $12,882.50 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $707.95 Median $831.76 Typical High $1,995.26 | Professional | None (both parts) | $707.95 | $831.76 | $1,995.26 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $213.80 Median $251.19 Typical High $588.84 | Professional | 26 · Professional part | $213.80 | $251.19 | $588.84 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $501.19 Median $588.84 Typical High $1,412.54 | Professional | TC · Technical part | $501.19 | $588.84 | $1,412.54 |
United Setting Facility Modifier None Typical Low $1,288.25 Median $3,388.44 Typical High $7,762.47 | Facility | None | $1,288.25 | $3,388.44 | $7,762.47 |
United Setting Professional Modifier None (both parts) Typical Low $588.84 Median $870.96 Typical High $1,905.46 | Professional | None (both parts) | $588.84 | $870.96 | $1,905.46 |
United Setting Professional Modifier 26 · Professional part Typical Low $194.98 Median $281.84 Typical High $575.44 | Professional | 26 · Professional part | $194.98 | $281.84 | $575.44 |
United Setting Professional Modifier TC · Technical part Typical Low $398.11 Median $602.56 Typical High $1,348.96 | Professional | TC · Technical part | $398.11 | $602.56 | $1,348.96 |
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 $346.74 Median $416.87 Typical High $416.87 | Professional | 52 · Reduced service | $346.74 | $416.87 | $416.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $138.04 Median $165.96 Typical High $169.82 | Professional | 53 · Discontinued | $138.04 | $165.96 | $169.82 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $512.86 Median $616.60 Typical High $630.96 | Professional | 54 · Surgery only | $512.86 | $616.60 | $630.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $102.33 Median $123.03 Typical High $125.89 | Professional | 55 · Aftercare only | $102.33 | $123.03 | $125.89 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $69.18 Median $83.18 Typical High $85.11 | Professional | 56 · Pre-op care only | $69.18 | $83.18 | $85.11 |
Where New Jersey sits
The same service costs 4.4 times more in Wisconsin than in Texas. 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· 19th of 51
$1,175
WI $2,630TX $603
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.