How much rates vary
Facilitymedian $2,239 · 10th to 90th $912 to $5,495Professionalmedian $407 · 10th to 90th $282 to $741
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 $371.54 Median $2,570.40 Typical High $6,165.95 | Facility | None | $371.54 | $2,570.40 | $6,165.95 |
Aetna Setting Professional Modifier None Typical Low $331.13 Median $331.13 Typical High $524.81 | Professional | None | $331.13 | $331.13 | $524.81 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,754.23 Median $4,466.84 Typical High $5,754.40 | Facility | None | $2,754.23 | $4,466.84 | $5,754.40 |
Anthem BCBS Setting Professional Modifier None Typical Low $338.84 Median $389.05 Typical High $691.83 | Professional | None | $338.84 | $389.05 | $691.83 |
Cigna Setting Facility Modifier None Typical Low $616.60 Median $1,380.38 Typical High $1,905.46 | Facility | None | $616.60 | $1,380.38 | $1,905.46 |
Cigna Setting Professional Modifier None Typical Low $275.42 Median $524.81 Typical High $758.58 | Professional | None | $275.42 | $524.81 | $758.58 |
Hometown Health Setting Professional Modifier None Typical Low $3.80 Median $426.58 Typical High $724.44 | Professional | None | $3.80 | $426.58 | $724.44 |
Hometown Health Setting Facility Modifier None Typical Low $1,318.26 Median $1,318.26 Typical High $1,318.26 | Facility | None | $1,318.26 | $1,318.26 | $1,318.26 |
Hometown Health Setting Professional Modifier None Typical Low $2.82 Median $2.82 Typical High $446.68 | Professional | None | $2.82 | $2.82 | $446.68 |
Select Health Setting Facility Modifier None Typical Low $295.12 Median $295.12 Typical High $4,265.80 | Facility | None | $295.12 | $295.12 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $239.88 Median $295.12 Typical High $616.60 | Professional | None | $239.88 | $295.12 | $616.60 |
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 $281.84 Median $489.78 Typical High $776.25 | Professional | None | $281.84 | $489.78 | $776.25 |
5 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 $165.96 Median $165.96 Typical High $181.97 | Professional | 52 · Reduced service | $165.96 | $165.96 | $181.97 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $67.61 Median $67.61 Typical High $74.13 | Professional | 53 · Discontinued | $67.61 | $67.61 | $74.13 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $251.19 Median $251.19 Typical High $275.42 | Professional | 54 · Surgery only | $251.19 | $251.19 | $275.42 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $50.12 Median $50.12 Typical High $54.95 | Professional | 55 · Aftercare only | $50.12 | $50.12 | $54.95 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $33.11 Median $33.11 Typical High $37.15 | Professional | 56 · Pre-op care only | $33.11 | $33.11 | $37.15 |
Where Nevada sits
The same service costs 6.1 times more in Oklahoma than in Montana. 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
OK $6,602MT $1,074
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.