How much rates vary
Facilitymedian $2,239 · 10th to 90th $1,023 to $5,495Professionalmedian $490 · 10th to 90th $372 to $776
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 $501.19 Median $2,570.40 Typical High $6,165.95 | Facility | None | $501.19 | $2,570.40 | $6,165.95 |
Aetna Setting Professional Modifier None Typical Low $457.09 Median $457.09 Typical High $501.19 | Professional | None | $457.09 | $457.09 | $501.19 |
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 $467.74 Median $537.03 Typical High $870.96 | Professional | None | $467.74 | $537.03 | $870.96 |
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 $389.05 Median $398.11 Typical High $691.83 | Professional | None | $389.05 | $398.11 | $691.83 |
Hometown Health Setting Professional Modifier None Typical Low $5.62 Median $398.11 Typical High $776.25 | Professional | None | $5.62 | $398.11 | $776.25 |
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 $4.17 Median $4.17 Typical High $660.69 | Professional | None | $4.17 | $4.17 | $660.69 |
Select Health Setting Facility Modifier None Typical Low $446.68 Median $446.68 Typical High $4,265.80 | Facility | None | $446.68 | $446.68 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $354.81 Median $446.68 Typical High $912.01 | Professional | None | $354.81 | $446.68 | $912.01 |
United Setting Facility Modifier None Typical Low $954.99 Median $1,348.96 Typical High $3,311.31 | Facility | None | $954.99 | $1,348.96 | $3,311.31 |
United Setting Professional Modifier None Typical Low $371.54 Median $489.78 Typical High $724.44 | Professional | None | $371.54 | $489.78 | $724.44 |
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 $346.74 Median $346.74 Typical High $380.19 | Professional | 54 · Surgery only | $346.74 | $346.74 | $380.19 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $323.59 Median $323.59 Typical High $354.81 | Professional | 78 · Unplanned return to OR | $323.59 | $323.59 | $354.81 |
Where Nevada sits
The same service costs 4.4 times more in Colorado than in Montana. 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
CO $6,812MT $1,536
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.