How much rates vary
Facilitymedian $10,471 · 10th to 90th $3,388 to $35,481Professionalmedian $1,230 · 10th to 90th $1,000 to $2,754
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 $4,570.88 Median $11,220.18 Typical High $19,498.45 | Facility | None | $4,570.88 | $11,220.18 | $19,498.45 |
Aetna Setting Professional Modifier None Typical Low $1,122.02 Median $1,230.27 Typical High $2,089.30 | Professional | None | $1,122.02 | $1,230.27 | $2,089.30 |
Cigna Setting Facility Modifier None Typical Low $2,511.89 Median $35,481.34 Typical High $48,977.88 | Facility | None | $2,511.89 | $35,481.34 | $48,977.88 |
Cigna Setting Professional Modifier None Typical Low $1,000.00 Median $1,174.90 Typical High $2,570.40 | Professional | None | $1,000.00 | $1,174.90 | $2,570.40 |
Emblem Health Setting Professional Modifier None Typical Low $1,000.00 Median $1,348.96 Typical High $1,380.38 | Professional | None | $1,000.00 | $1,348.96 | $1,380.38 |
Horizon BCBS Setting Facility Modifier None Typical Low $8,317.64 Median $15,848.93 Typical High $74,131.02 | Facility | None | $8,317.64 | $15,848.93 | $74,131.02 |
Horizon BCBS Setting Professional Modifier None Typical Low $1,023.29 Median $1,202.26 Typical High $3,019.95 | Professional | None | $1,023.29 | $1,202.26 | $3,019.95 |
United Setting Facility Modifier None Typical Low $1,905.46 Median $8,317.64 Typical High $18,197.01 | Facility | None | $1,905.46 | $8,317.64 | $18,197.01 |
United Setting Professional Modifier None Typical Low $812.83 Median $1,230.27 Typical High $2,754.23 | Professional | None | $812.83 | $1,230.27 | $2,754.23 |
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 $549.54 Median $616.60 Typical High $645.65 | Professional | 52 · Reduced service | $549.54 | $616.60 | $645.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $223.87 Median $245.47 Typical High $263.03 | Professional | 53 · Discontinued | $223.87 | $245.47 | $263.03 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $831.76 Median $933.25 Typical High $977.24 | Professional | 54 · Surgery only | $831.76 | $933.25 | $977.24 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $165.96 Median $186.21 Typical High $194.98 | Professional | 55 · Aftercare only | $165.96 | $186.21 | $194.98 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $112.20 Median $123.03 Typical High $128.82 | Professional | 56 · Pre-op care only | $112.20 | $123.03 | $128.82 |
Where New Jersey sits
The same service costs 8.1 times more in Indiana than in Kentucky. 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
IN $23,026KY $2,834
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.