How much rates vary
Facilitymedian $1,950 · 10th to 90th $617 to $5,248Professionalmedian $1,122 · 10th to 90th $891 to $1,778
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 $1,148.15 Median $2,238.72 Typical High $5,128.61 | Facility | None | $1,148.15 | $2,238.72 | $5,128.61 |
Aetna Setting Professional Modifier None Typical Low $1,023.29 Median $1,023.29 Typical High $1,445.44 | Professional | None | $1,023.29 | $1,023.29 | $1,445.44 |
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 $1,047.13 Median $1,258.93 Typical High $2,238.72 | Professional | None | $1,047.13 | $1,258.93 | $2,238.72 |
Cigna Setting Facility Modifier None Typical Low $912.01 Median $1,445.44 Typical High $1,949.84 | Facility | None | $912.01 | $1,445.44 | $1,949.84 |
Cigna Setting Professional Modifier None Typical Low $891.25 Median $891.25 Typical High $1,621.81 | Professional | None | $891.25 | $891.25 | $1,621.81 |
Hometown Health Setting Professional Modifier None Typical Low $11.22 Median $1,122.02 Typical High $1,621.81 | Professional | None | $11.22 | $1,122.02 | $1,621.81 |
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 $9.55 Median $9.55 Typical High $1,445.44 | Professional | None | $9.55 | $9.55 | $1,445.44 |
Select Health Setting Facility Modifier None Typical Low $954.99 Median $954.99 Typical High $4,265.80 | Facility | None | $954.99 | $954.99 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $870.96 Median $870.96 Typical High $870.96 | Professional | None | $870.96 | $870.96 | $870.96 |
United Setting Facility Modifier None Typical Low $467.74 Median $776.25 Typical High $2,884.03 | Facility | None | $467.74 | $776.25 | $2,884.03 |
United Setting Professional Modifier None Typical Low $870.96 Median $1,096.48 Typical High $1,659.59 | Professional | None | $870.96 | $1,096.48 | $1,659.59 |
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 $776.25 Median $776.25 Typical High $851.14 | Professional | 54 · Surgery only | $776.25 | $776.25 | $851.14 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $724.44 Median $724.44 Typical High $794.33 | Professional | 78 · Unplanned return to OR | $724.44 | $724.44 | $794.33 |
Where Nevada sits
The same service costs 3.4 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 $7,428KY $2,193
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.