How much rates vary
Facilitymedian $2,692 · 10th to 90th $1,202 to $3,981Professionalmedian $955 · 10th to 90th $204 to $1,820
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $1,148.15 Median $1,202.26 Typical High $1,202.26 | Facility | None | $1,148.15 | $1,202.26 | $1,202.26 |
Aetna Setting Professional Modifier None (both parts) Typical Low $977.24 Median $1,202.26 Typical High $1,202.26 | Professional | None (both parts) | $977.24 | $1,202.26 | $1,202.26 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $190.55 Median $218.78 Typical High $218.78 | Professional | 26 · Professional part | $190.55 | $218.78 | $218.78 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $794.33 Median $977.24 Typical High $977.24 | Professional | TC · Technical part | $794.33 | $977.24 | $977.24 |
Cigna Setting Facility Modifier None Typical Low $1,862.09 Median $2,238.72 Typical High $5,623.41 | Facility | None | $1,862.09 | $2,238.72 | $5,623.41 |
Cigna Setting Professional Modifier None (both parts) Typical Low $758.58 Median $1,096.48 Typical High $2,630.27 | Professional | None (both parts) | $758.58 | $1,096.48 | $2,630.27 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $144.54 Median $194.98 Typical High $501.19 | Professional | 26 · Professional part | $144.54 | $194.98 | $501.19 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $616.60 Median $891.25 Typical High $2,089.30 | Professional | TC · Technical part | $616.60 | $891.25 | $2,089.30 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $3,019.95 Median $4,677.35 Typical High $4,677.35 | Professional | None (both parts) | $3,019.95 | $4,677.35 | $4,677.35 |
Horizon BCBS Setting Facility Modifier None Typical Low $1,905.46 Median $2,884.03 Typical High $3,981.07 | Facility | None | $1,905.46 | $2,884.03 | $3,981.07 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $173.78 Median $239.88 Typical High $707.95 | Professional | None (both parts) | $173.78 | $239.88 | $707.95 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $281.84 Median $457.09 Typical High $660.69 | Professional | 26 · Professional part | $281.84 | $457.09 | $660.69 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $707.95 Median $1,202.26 Typical High $1,548.82 | Professional | TC · Technical part | $707.95 | $1,202.26 | $1,548.82 |
United Setting Facility Modifier None Typical Low $1,659.59 Median $1,659.59 Typical High $3,630.78 | Facility | None | $1,659.59 | $1,659.59 | $3,630.78 |
United Setting Professional Modifier None (both parts) Typical Low $724.44 Median $1,023.29 Typical High $2,951.21 | Professional | None (both parts) | $724.44 | $1,023.29 | $2,951.21 |
United Setting Professional Modifier 26 · Professional part Typical Low $151.36 Median $194.98 Typical High $426.58 | Professional | 26 · Professional part | $151.36 | $194.98 | $426.58 |
United Setting Professional Modifier TC · Technical part Typical Low $575.44 Median $794.33 Typical High $2,570.40 | Professional | TC · Technical part | $575.44 | $794.33 | $2,570.40 |
4 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 $489.78 Median $588.84 Typical High $588.84 | Professional | 52 · Reduced service | $489.78 | $588.84 | $588.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $194.98 Median $239.88 Typical High $239.88 | Professional | 53 · Discontinued | $194.98 | $239.88 | $239.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $144.54 Median $177.83 Typical High $177.83 | Professional | 55 · Aftercare only | $144.54 | $177.83 | $177.83 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $97.72 Median $120.23 Typical High $120.23 | Professional | 56 · Pre-op care only | $97.72 | $120.23 | $120.23 |
Where New Jersey sits
The same service costs 11.2 times more in Alaska 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.
New Jersey· 41st of 51
$955
AK $3,020KY $269
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.