How much rates vary
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 $16.98 Median $17.38 Typical High $17.38 | Facility | None | $16.98 | $17.38 | $17.38 |
Aetna Setting Professional Modifier None Typical Low $16.98 Median $17.38 Typical High $19.50 | Professional | None | $16.98 | $17.38 | $19.50 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $8.13 Median $8.71 Typical High $9.77 | Professional | 52 · Reduced service | $8.13 | $8.71 | $9.77 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.31 Median $3.47 Typical High $3.89 | Professional | 53 · Discontinued | $3.31 | $3.47 | $3.89 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.45 Median $2.63 Typical High $2.95 | Professional | 55 · Aftercare only | $2.45 | $2.63 | $2.95 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.62 Median $1.74 Typical High $1.95 | Professional | 56 · Pre-op care only | $1.62 | $1.74 | $1.95 |
Cigna Setting Facility Modifier None Typical Low $28.84 Median $28.84 Typical High $28.84 | Facility | None | $28.84 | $28.84 | $28.84 |
Cigna Setting Professional Modifier None Typical Low $20.89 Median $20.89 Typical High $28.84 | Professional | None | $20.89 | $20.89 | $28.84 |
Emblem Health Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $34.67 | Professional | None | $30.20 | $30.20 | $34.67 |
Horizon BCBS Setting Professional Modifier None Typical Low $29.51 Median $29.51 Typical High $75.86 | Professional | None | $29.51 | $29.51 | $75.86 |
United Setting Professional Modifier None Typical Low $15.85 Median $20.89 Typical High $33.11 | Professional | None | $15.85 | $20.89 | $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 |
|---|---|---|---|---|---|
Horizon BCBS Setting Professional Modifier RR · Rental Typical Low $4.47 Median $25.12 Typical High $29.51 | Professional | RR · Rental | $4.47 | $25.12 | $29.51 |
Where New Jersey sits
The same service costs 4.1 times more in Wyoming than in Utah. 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· 34th of 51
$20.89
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.