How much rates vary
Facilitymedian $1,950 · 10th to 90th $562 to $5,495Professionalmedian $1,318 · 10th to 90th $891 to $2,138
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 $1,380.38 Median $2,570.40 Typical High $6,165.95 | Facility | None | $1,380.38 | $2,570.40 | $6,165.95 |
Aetna Setting Professional Modifier None Typical Low $1,318.26 Median $1,318.26 Typical High $1,445.44 | Professional | None | $1,318.26 | $1,318.26 | $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 $1,318.26 Median $1,548.82 Typical High $2,454.71 | Professional | None | $1,318.26 | $1,548.82 | $2,454.71 |
Cigna Setting Facility Modifier None Typical Low $616.60 Median $1,380.38 Typical High $1,905.46 | Facility | None | $616.60 | $1,380.38 | $1,905.46 |
Cigna Setting Professional Modifier None Typical Low $851.14 Median $1,122.02 Typical High $1,949.84 | Professional | None | $851.14 | $1,122.02 | $1,949.84 |
Hometown Health Setting Professional Modifier None Typical Low $12.02 Median $1,071.52 Typical High $1,995.26 | Professional | None | $12.02 | $1,071.52 | $1,995.26 |
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 $8.91 Median $8.91 Typical High $1,905.46 | Professional | None | $8.91 | $8.91 | $1,905.46 |
Select Health Setting Facility Modifier None Typical Low $1,258.93 Median $1,258.93 Typical High $4,265.80 | Facility | None | $1,258.93 | $1,258.93 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $1,023.29 Median $1,258.93 Typical High $2,570.40 | Professional | None | $1,023.29 | $1,258.93 | $2,570.40 |
United Setting Facility Modifier None Typical Low $467.74 Median $724.44 Typical High $2,884.03 | Facility | None | $467.74 | $724.44 | $2,884.03 |
United Setting Professional Modifier None Typical Low $891.25 Median $1,202.26 Typical High $1,905.46 | Professional | None | $891.25 | $1,202.26 | $1,905.46 |
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 $660.69 Median $660.69 Typical High $724.44 | Professional | 52 · Reduced service | $660.69 | $660.69 | $724.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $263.03 Median $263.03 Typical High $288.40 | Professional | 53 · Discontinued | $263.03 | $263.03 | $288.40 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,000.00 Median $1,000.00 Typical High $1,096.48 | Professional | 54 · Surgery only | $1,000.00 | $1,000.00 | $1,096.48 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $199.53 Median $199.53 Typical High $218.78 | Professional | 55 · Aftercare only | $199.53 | $199.53 | $218.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $131.83 Median $131.83 Typical High $144.54 | Professional | 56 · Pre-op care only | $131.83 | $131.83 | $144.54 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $933.25 Median $933.25 Typical High $1,023.29 | Professional | 78 · Unplanned return to OR | $933.25 | $933.25 | $1,023.29 |
Where Nevada sits
The same service costs 3.7 times more in Alaska than in Delaware. 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 $8,917DE $2,410
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.