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 $11.75 Median $16.22 Typical High $16.22 | Facility | None | $11.75 | $16.22 | $16.22 |
Aetna Setting Professional Modifier None Typical Low $11.75 Median $16.22 Typical High $16.60 | Professional | None | $11.75 | $16.22 | $16.60 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.74 Median $2.45 Typical High $2.45 | Professional | 55 · Aftercare only | $1.74 | $2.45 | $2.45 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.17 Median $1.62 Typical High $1.62 | Professional | 56 · Pre-op care only | $1.17 | $1.62 | $1.62 |
AmeriHealth Setting Facility Modifier None Typical Low $39.81 Median $81.28 Typical High $104.71 | Facility | None | $39.81 | $81.28 | $104.71 |
Cigna Setting Facility Modifier None Typical Low $12.59 Median $21.38 Typical High $21.38 | Facility | None | $12.59 | $21.38 | $21.38 |
Cigna Setting Professional Modifier None Typical Low $18.20 Median $18.20 Typical High $21.38 | Professional | None | $18.20 | $18.20 | $21.38 |
Emblem Health Setting Professional Modifier None Typical Low $22.39 Median $44.67 Typical High $44.67 | Professional | None | $22.39 | $44.67 | $44.67 |
Horizon BCBS Setting Professional Modifier None Typical Low $22.39 Median $22.39 Typical High $22.39 | Professional | None | $22.39 | $22.39 | $22.39 |
United Setting Professional Modifier None Typical Low $13.18 Median $17.78 Typical High $33.11 | Professional | None | $13.18 | $17.78 | $33.11 |
1 more rate 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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier KX · Policy requirements met Typical Low $20.89 Median $20.89 Typical High $20.89 | Professional | KX · Policy requirements met | $20.89 | $20.89 | $20.89 |
Where New Jersey sits
The same service costs 2.6 times more in Hawaii than in New Hampshire. 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
$18.20
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.