How much rates vary
Facilitymedian $4,365 · 10th to 90th $1,905 to $9,772Professionalmedian $2,455 · 10th to 90th $1,862 to $3,802
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 $2,238.72 Median $3,981.07 Typical High $8,128.31 | Facility | None | $2,238.72 | $3,981.07 | $8,128.31 |
Aetna Setting Professional Modifier None Typical Low $2,344.23 Median $2,344.23 Typical High $2,570.40 | Professional | None | $2,344.23 | $2,344.23 | $2,570.40 |
Anthem BCBS Setting Facility Modifier None Typical Low $4,570.88 Median $7,762.47 Typical High $10,715.19 | Facility | None | $4,570.88 | $7,762.47 | $10,715.19 |
Anthem BCBS Setting Professional Modifier None Typical Low $2,344.23 Median $2,691.53 Typical High $4,365.16 | Professional | None | $2,344.23 | $2,691.53 | $4,365.16 |
Cigna Setting Facility Modifier None Typical Low $691.83 Median $3,890.45 Typical High $5,495.41 | Facility | None | $691.83 | $3,890.45 | $5,495.41 |
Cigna Setting Professional Modifier None Typical Low $1,698.24 Median $1,995.26 Typical High $3,548.13 | Professional | None | $1,698.24 | $1,995.26 | $3,548.13 |
Hometown Health Setting Professional Modifier None Typical Low $29.51 Median $1,949.84 Typical High $3,630.78 | Professional | None | $29.51 | $1,949.84 | $3,630.78 |
Hometown Health Setting Facility Modifier None Typical Low $3,890.45 Median $3,890.45 Typical High $3,890.45 | Facility | None | $3,890.45 | $3,890.45 | $3,890.45 |
Hometown Health Setting Professional Modifier None Typical Low $21.88 Median $21.88 Typical High $3,235.94 | Professional | None | $21.88 | $21.88 | $3,235.94 |
Select Health Setting Facility Modifier None Typical Low $2,137.96 Median $2,137.96 Typical High $4,265.80 | Facility | None | $2,137.96 | $2,137.96 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $1,737.80 Median $2,137.96 Typical High $4,466.84 | Professional | None | $1,737.80 | $2,137.96 | $4,466.84 |
United Setting Facility Modifier None Typical Low $1,905.46 Median $3,019.95 Typical High $6,456.54 | Facility | None | $1,905.46 | $3,019.95 | $6,456.54 |
United Setting Professional Modifier None Typical Low $1,995.26 Median $2,454.71 Typical High $3,630.78 | Professional | None | $1,995.26 | $2,454.71 | $3,630.78 |
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 $1,778.28 Median $1,778.28 Typical High $1,949.84 | Professional | 54 · Surgery only | $1,778.28 | $1,778.28 | $1,949.84 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,659.59 Median $1,659.59 Typical High $1,819.70 | Professional | 78 · Unplanned return to OR | $1,659.59 | $1,659.59 | $1,819.70 |
Where Nevada sits
The same service costs 4.0 times more in Alaska 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
AK $19,545KY $4,915
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.