How much rates vary
Facilitymedian $3,090 · 10th to 90th $1,122 to $6,166Professionalmedian $851 · 10th to 90th $741 to $1,380
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 $851.14 Median $1,698.24 Typical High $10,715.19 | Facility | None | $851.14 | $1,698.24 | $10,715.19 |
Aetna Setting Professional Modifier None Typical Low $776.25 Median $776.25 Typical High $851.14 | Professional | None | $776.25 | $776.25 | $851.14 |
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 $794.33 Median $912.01 Typical High $1,479.11 | Professional | None | $794.33 | $912.01 | $1,479.11 |
Cigna Setting Facility Modifier None Typical Low $562.34 Median $758.58 Typical High $2,137.96 | Facility | None | $562.34 | $758.58 | $2,137.96 |
Cigna Setting Professional Modifier None Typical Low $758.58 Median $776.25 Typical High $1,318.26 | Professional | None | $758.58 | $776.25 | $1,318.26 |
Hometown Health Setting Professional Modifier None Typical Low $15.85 Median $691.83 Typical High $1,148.15 | Professional | None | $15.85 | $691.83 | $1,148.15 |
Hometown Health Setting Professional Modifier None Typical Low $12.02 Median $12.02 Typical High $1,000.00 | Professional | None | $12.02 | $12.02 | $1,000.00 |
Select Health Setting Facility Modifier None Typical Low $676.08 Median $676.08 Typical High $4,265.80 | Facility | None | $676.08 | $676.08 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $537.03 Median $676.08 Typical High $1,737.80 | Professional | None | $537.03 | $676.08 | $1,737.80 |
United Setting Facility Modifier None Typical Low $1,905.46 Median $3,019.95 Typical High $11,481.54 | Facility | None | $1,905.46 | $3,019.95 | $11,481.54 |
United Setting Professional Modifier None Typical Low $741.31 Median $870.96 Typical High $1,380.38 | Professional | None | $741.31 | $870.96 | $1,380.38 |
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 $389.05 Median $389.05 Typical High $426.58 | Professional | 52 · Reduced service | $389.05 | $389.05 | $426.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $154.88 Median $154.88 Typical High $169.82 | Professional | 53 · Discontinued | $154.88 | $154.88 | $169.82 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $588.84 Median $588.84 Typical High $645.65 | Professional | 54 · Surgery only | $588.84 | $588.84 | $645.65 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $117.49 Median $117.49 Typical High $128.82 | Professional | 55 · Aftercare only | $117.49 | $117.49 | $128.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $77.62 Median $77.62 Typical High $85.11 | Professional | 56 · Pre-op care only | $77.62 | $77.62 | $85.11 |
Where Nevada sits
The same service costs 4.6 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 $9,843KY $2,122
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.