How much rates vary
Facilitymedian $4,467 · 10th to 90th $1,778 to $8,128Professionalmedian $1,738 · 10th to 90th $1,318 to $2,692
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 $1,778.28 Median $4,466.84 Typical High $8,128.31 | Facility | None | $1,778.28 | $4,466.84 | $8,128.31 |
Aetna Setting Professional Modifier None Typical Low $1,621.81 Median $1,621.81 Typical High $1,778.28 | Professional | None | $1,621.81 | $1,621.81 | $1,778.28 |
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 $1,621.81 Median $1,862.09 Typical High $3,019.95 | Professional | None | $1,621.81 | $1,862.09 | $3,019.95 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $7,413.10 Typical High $10,232.93 | Facility | None | $741.31 | $7,413.10 | $10,232.93 |
Cigna Setting Professional Modifier None Typical Low $1,230.27 Median $1,380.38 Typical High $2,454.71 | Professional | None | $1,230.27 | $1,380.38 | $2,454.71 |
Hometown Health Setting Professional Modifier None Typical Low $25.70 Median $1,479.11 Typical High $2,754.23 | Professional | None | $25.70 | $1,479.11 | $2,754.23 |
Hometown Health Setting Facility Modifier None Typical Low $7,079.46 Median $7,079.46 Typical High $7,079.46 | Facility | None | $7,079.46 | $7,079.46 | $7,079.46 |
Hometown Health Setting Professional Modifier None Typical Low $19.05 Median $19.05 Typical High $2,344.23 | Professional | None | $19.05 | $19.05 | $2,344.23 |
Select Health Setting Facility Modifier None Typical Low $1,584.89 Median $1,584.89 Typical High $4,265.80 | Facility | None | $1,584.89 | $1,584.89 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $1,258.93 Median $1,584.89 Typical High $3,235.94 | Professional | None | $1,258.93 | $1,584.89 | $3,235.94 |
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 $1,380.38 Median $1,659.59 Typical High $2,570.40 | Professional | None | $1,380.38 | $1,659.59 | $2,570.40 |
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 $812.83 Median $812.83 Typical High $891.25 | Professional | 52 · Reduced service | $812.83 | $812.83 | $891.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $323.59 Median $323.59 Typical High $354.81 | Professional | 53 · Discontinued | $323.59 | $323.59 | $354.81 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,230.27 Median $1,230.27 Typical High $1,348.96 | Professional | 54 · Surgery only | $1,230.27 | $1,230.27 | $1,348.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $245.47 Median $245.47 Typical High $269.15 | Professional | 55 · Aftercare only | $245.47 | $245.47 | $269.15 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $162.18 Median $162.18 Typical High $177.83 | Professional | 56 · Pre-op care only | $162.18 | $162.18 | $177.83 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,148.15 Median $1,148.15 Typical High $1,258.93 | Professional | 78 · Unplanned return to OR | $1,148.15 | $1,148.15 | $1,258.93 |
Where Nevada sits
The same service costs 5.3 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 $17,981KY $3,363
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.