How much rates vary
Facilitymedian $2,239 · 10th to 90th $537 to $4,786Professionalmedian $794 · 10th to 90th $617 to $1,175
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 $776.25 Median $2,238.72 Typical High $5,128.61 | Facility | None | $776.25 | $2,238.72 | $5,128.61 |
Aetna Setting Professional Modifier None Typical Low $660.69 Median $741.31 Typical High $1,174.90 | Professional | None | $660.69 | $741.31 | $1,174.90 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,570.40 Median $3,801.89 Typical High $5,128.61 | Facility | None | $2,570.40 | $3,801.89 | $5,128.61 |
Anthem BCBS Setting Professional Modifier None Typical Low $776.25 Median $954.99 Typical High $1,412.54 | Professional | None | $776.25 | $954.99 | $1,412.54 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $2,041.74 Typical High $2,884.03 | Facility | None | $501.19 | $2,041.74 | $2,884.03 |
Cigna Setting Professional Modifier None Typical Low $537.03 Median $707.95 Typical High $1,122.02 | Professional | None | $537.03 | $707.95 | $1,122.02 |
Hometown Health Setting Professional Modifier None Typical Low $2.95 Median $870.96 Typical High $1,148.15 | Professional | None | $2.95 | $870.96 | $1,148.15 |
Hometown Health Setting Facility Modifier None Typical Low $2,041.74 Median $2,041.74 Typical High $2,041.74 | Facility | None | $2,041.74 | $2,041.74 | $2,041.74 |
Hometown Health Setting Professional Modifier None Typical Low $2.51 Median $2.51 Typical High $1,096.48 | Professional | None | $2.51 | $2.51 | $1,096.48 |
Select Health Setting Facility Modifier None Typical Low $724.44 Median $724.44 Typical High $4,265.80 | Facility | None | $724.44 | $724.44 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $758.58 Median $758.58 Typical High $758.58 | Professional | None | $758.58 | $758.58 | $758.58 |
United Setting Facility Modifier None Typical Low $467.74 Median $724.44 Typical High $2,884.03 | Facility | None | $467.74 | $724.44 | $2,884.03 |
United Setting Professional Modifier None Typical Low $389.05 Median $812.83 Typical High $1,202.26 | Professional | None | $389.05 | $812.83 | $1,202.26 |
6 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 $354.81 Median $371.54 Typical High $389.05 | Professional | 52 · Reduced service | $354.81 | $371.54 | $389.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $141.25 Median $147.91 Typical High $154.88 | Professional | 53 · Discontinued | $141.25 | $147.91 | $154.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $524.81 Median $562.34 Typical High $575.44 | Professional | 54 · Surgery only | $524.81 | $562.34 | $575.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $104.71 Median $112.20 Typical High $117.49 | Professional | 55 · Aftercare only | $104.71 | $112.20 | $117.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $70.79 Median $74.13 Typical High $77.62 | Professional | 56 · Pre-op care only | $70.79 | $74.13 | $77.62 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $489.78 Median $524.81 Typical High $537.03 | Professional | 78 · Unplanned return to OR | $489.78 | $524.81 | $537.03 |
Where Nevada sits
The same service costs 3.5 times more in Alaska than in Georgia. 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
AK $7,038GA $2,000
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.