How much rates vary
Facilitymedian $1,514 · 10th to 90th $331 to $9,333Professionalmedian $575 · 10th to 90th $372 to $7,413
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 $4,365.16 Median $6,918.31 Typical High $12,882.50 | Facility | None | $4,365.16 | $6,918.31 | $12,882.50 |
Aetna Setting Professional Modifier None (both parts) Typical Low $489.78 Median $575.44 Typical High $602.56 | Professional | None (both parts) | $489.78 | $575.44 | $602.56 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $371.54 Median $416.87 Typical High $446.68 | Professional | 26 · Professional part | $371.54 | $416.87 | $446.68 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $154.88 Typical High $158.49 | Professional | TC · Technical part | $125.89 | $154.88 | $158.49 |
Cigna Setting Professional Modifier None (both parts) Typical Low $501.19 Median $575.44 Typical High $1,174.90 | Professional | None (both parts) | $501.19 | $575.44 | $1,174.90 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $371.54 Median $436.52 Typical High $851.14 | Professional | 26 · Professional part | $371.54 | $436.52 | $851.14 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $151.36 Typical High $316.23 | Professional | TC · Technical part | $131.83 | $151.36 | $316.23 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $741.31 Median $10,471.29 Typical High $10,471.29 | Professional | None (both parts) | $741.31 | $10,471.29 | $10,471.29 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $371.54 Median $436.52 Typical High $2,454.71 | Professional | None (both parts) | $371.54 | $436.52 | $2,454.71 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $489.78 Median $676.08 Typical High $1,230.27 | Professional | 26 · Professional part | $489.78 | $676.08 | $1,230.27 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $2,398.83 Typical High $10,715.19 | Professional | TC · Technical part | $204.17 | $2,398.83 | $10,715.19 |
United Setting Facility Modifier None Typical Low $309.03 Median $1,348.96 Typical High $3,981.07 | Facility | None | $309.03 | $1,348.96 | $3,981.07 |
United Setting Professional Modifier None (both parts) Typical Low $602.56 Median $1,621.81 Typical High $10,964.78 | Professional | None (both parts) | $602.56 | $1,621.81 | $10,964.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $346.74 Median $512.86 Typical High $1,000.00 | Professional | 26 · Professional part | $346.74 | $512.86 | $1,000.00 |
United Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $602.56 Typical High $10,232.93 | Professional | TC · Technical part | $223.87 | $602.56 | $10,232.93 |
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 $245.47 Median $288.40 Typical High $302.00 | Professional | 52 · Reduced service | $245.47 | $288.40 | $302.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $97.72 Median $114.82 Typical High $120.23 | Professional | 53 · Discontinued | $97.72 | $114.82 | $120.23 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $371.54 Median $426.58 Typical High $446.68 | Professional | 54 · Surgery only | $371.54 | $426.58 | $446.68 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $74.13 Median $85.11 Typical High $89.13 | Professional | 55 · Aftercare only | $74.13 | $85.11 | $89.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $48.98 Median $57.54 Typical High $60.26 | Professional | 56 · Pre-op care only | $48.98 | $57.54 | $60.26 |
Where New Jersey sits
The same service costs 5.6 times more in Nebraska than in Maryland. 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· 47th of 51
$631
NE $2,818MD $501
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.