How much rates vary
Facilitymedian $4,677 · 10th to 90th $1,288 to $20,893Professionalmedian $1,175 · 10th to 90th $851 to $1,862
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 $1,258.93 Median $2,570.40 Typical High $6,165.95 | Facility | None | $1,258.93 | $2,570.40 | $6,165.95 |
Aetna Setting Professional Modifier None Typical Low $1,148.15 Median $1,148.15 Typical High $1,258.93 | Professional | None | $1,148.15 | $1,148.15 | $1,258.93 |
Anthem BCBS Setting Facility Modifier None Typical Low $5,495.41 Median $9,772.37 Typical High $12,302.69 | Facility | None | $5,495.41 | $9,772.37 | $12,302.69 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,174.90 Median $1,348.96 Typical High $2,137.96 | Professional | None | $1,174.90 | $1,348.96 | $2,137.96 |
Cigna Setting Facility Modifier None Typical Low $912.01 Median $18,620.87 Typical High $26,915.35 | Facility | None | $912.01 | $18,620.87 | $26,915.35 |
Cigna Setting Professional Modifier None Typical Low $851.14 Median $912.01 Typical High $1,621.81 | Professional | None | $851.14 | $912.01 | $1,621.81 |
Hometown Health Setting Professional Modifier None Typical Low $10.00 Median $933.25 Typical High $1,778.28 | Professional | None | $10.00 | $933.25 | $1,778.28 |
Hometown Health Setting Facility Modifier None Typical Low $18,620.87 Median $18,620.87 Typical High $18,620.87 | Facility | None | $18,620.87 | $18,620.87 | $18,620.87 |
Hometown Health Setting Professional Modifier None Typical Low $7.59 Median $7.59 Typical High $1,584.89 | Professional | None | $7.59 | $7.59 | $1,584.89 |
Select Health Setting Facility Modifier None Typical Low $1,047.13 Median $1,047.13 Typical High $4,265.80 | Facility | None | $1,047.13 | $1,047.13 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $831.76 Median $1,047.13 Typical High $1,949.84 | Professional | None | $831.76 | $1,047.13 | $1,949.84 |
United Setting Facility Modifier None Typical Low $1,174.90 Median $1,698.24 Typical High $4,677.35 | Facility | None | $1,174.90 | $1,698.24 | $4,677.35 |
United Setting Professional Modifier None Typical Low $831.76 Median $1,174.90 Typical High $1,737.80 | Professional | None | $831.76 | $1,174.90 | $1,737.80 |
2 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 54 · Surgery only Typical Low $851.14 Median $851.14 Typical High $933.25 | Professional | 54 · Surgery only | $851.14 | $851.14 | $933.25 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $794.33 Median $794.33 Typical High $870.96 | Professional | 78 · Unplanned return to OR | $794.33 | $794.33 | $870.96 |
Where Nevada sits
The same service costs 8.5 times more in Wyoming than in Kentucky. 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
WY $22,644KY $2,656
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.