How much rates vary
Facilitymedian $2,138 · 10th to 90th $871 to $4,467Professionalmedian $794 · 10th to 90th $575 to $1,288
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 $645.65 Median $2,570.40 Typical High $5,011.87 | Facility | None | $645.65 | $2,570.40 | $5,011.87 |
Aetna Setting Professional Modifier None Typical Low $616.60 Median $758.58 Typical High $1,000.00 | Professional | None | $616.60 | $758.58 | $1,000.00 |
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 $660.69 Median $891.25 Typical High $1,288.25 | Professional | None | $660.69 | $891.25 | $1,288.25 |
Cigna Setting Facility Modifier None Typical Low $616.60 Median $1,230.27 Typical High $1,698.24 | Facility | None | $616.60 | $1,230.27 | $1,698.24 |
Cigna Setting Professional Modifier None Typical Low $562.34 Median $691.83 Typical High $1,096.48 | Professional | None | $562.34 | $691.83 | $1,096.48 |
Hometown Health Setting Professional Modifier None Typical Low $660.69 Median $933.25 Typical High $1,380.38 | Professional | None | $660.69 | $933.25 | $1,380.38 |
Hometown Health Setting Facility Modifier None Typical Low $1,174.90 Median $1,174.90 Typical High $1,174.90 | Facility | None | $1,174.90 | $1,174.90 | $1,174.90 |
Hometown Health Setting Professional Modifier None Typical Low $3.31 Median $891.25 Typical High $1,778.28 | Professional | None | $3.31 | $891.25 | $1,778.28 |
Select Health Setting Facility Modifier None Typical Low $602.56 Median $870.96 Typical High $4,265.80 | Facility | None | $602.56 | $870.96 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $630.96 Median $630.96 Typical High $630.96 | Professional | None | $630.96 | $630.96 | $630.96 |
United Setting Facility Modifier None Typical Low $954.99 Median $1,318.26 Typical High $3,311.31 | Facility | None | $954.99 | $1,318.26 | $3,311.31 |
United Setting Professional Modifier None Typical Low $512.86 Median $758.58 Typical High $1,202.26 | Professional | None | $512.86 | $758.58 | $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 $309.03 Median $338.84 Typical High $407.38 | Professional | 52 · Reduced service | $309.03 | $338.84 | $407.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $123.03 Median $138.04 Typical High $162.18 | Professional | 53 · Discontinued | $123.03 | $138.04 | $162.18 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $467.74 Median $512.86 Typical High $602.56 | Professional | 54 · Surgery only | $467.74 | $512.86 | $602.56 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $93.33 Median $102.33 Typical High $123.03 | Professional | 55 · Aftercare only | $93.33 | $102.33 | $123.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $61.66 Median $67.61 Typical High $81.28 | Professional | 56 · Pre-op care only | $61.66 | $67.61 | $81.28 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $436.52 Median $478.63 Typical High $562.34 | Professional | 78 · Unplanned return to OR | $436.52 | $478.63 | $562.34 |
Where Nevada sits
The same service costs 3.1 times more in Alaska 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.
Physician feeFacility fee
AK $5,990MD $1,938
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.