How much rates vary
Facilitymedian $4,266 · 10th to 90th $1,622 to $6,918Professionalmedian $1,738 · 10th to 90th $1,380 to $2,630
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 $1,737.80 Median $3,981.07 Typical High $8,128.31 | Facility | None | $1,737.80 | $3,981.07 | $8,128.31 |
Aetna Setting Professional Modifier None Typical Low $1,584.89 Median $1,584.89 Typical High $1,737.80 | Professional | None | $1,584.89 | $1,584.89 | $1,737.80 |
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 $5,370.32 Typical High $7,413.10 | Facility | None | $741.31 | $5,370.32 | $7,413.10 |
Cigna Setting Professional Modifier None Typical Low $1,380.38 Median $1,380.38 Typical High $2,511.89 | Professional | None | $1,380.38 | $1,380.38 | $2,511.89 |
Hometown Health Setting Professional Modifier None Typical Low $41.69 Median $1,445.44 Typical High $2,511.89 | Professional | None | $41.69 | $1,445.44 | $2,511.89 |
Hometown Health Setting Facility Modifier None Typical Low $5,128.61 Median $5,128.61 Typical High $5,128.61 | Facility | None | $5,128.61 | $5,128.61 | $5,128.61 |
Hometown Health Setting Professional Modifier None Typical Low $30.90 Median $30.90 Typical High $2,187.76 | Professional | None | $30.90 | $30.90 | $2,187.76 |
Select Health Setting Facility Modifier None Typical Low $1,445.44 Median $1,445.44 Typical High $4,265.80 | Facility | None | $1,445.44 | $1,445.44 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $1,174.90 Median $1,445.44 Typical High $2,951.21 | Professional | None | $1,174.90 | $1,445.44 | $2,951.21 |
United Setting Facility Modifier None Typical Low $1,621.81 Median $2,398.83 Typical High $6,165.95 | Facility | None | $1,621.81 | $2,398.83 | $6,165.95 |
United Setting Professional Modifier None Typical Low $1,445.44 Median $1,737.80 Typical High $2,511.89 | Professional | None | $1,445.44 | $1,737.80 | $2,511.89 |
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 $794.33 Median $794.33 Typical High $870.96 | Professional | 52 · Reduced service | $794.33 | $794.33 | $870.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $316.23 Median $316.23 Typical High $354.81 | Professional | 53 · Discontinued | $316.23 | $316.23 | $354.81 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,202.26 Median $1,202.26 Typical High $1,318.26 | Professional | 54 · Surgery only | $1,202.26 | $1,202.26 | $1,318.26 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $239.88 Median $239.88 Typical High $263.03 | Professional | 55 · Aftercare only | $239.88 | $239.88 | $263.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $158.49 Median $158.49 Typical High $173.78 | Professional | 56 · Pre-op care only | $158.49 | $158.49 | $173.78 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,122.02 Median $1,122.02 Typical High $1,230.27 | Professional | 78 · Unplanned return to OR | $1,122.02 | $1,122.02 | $1,230.27 |
Where Nevada sits
The same service costs 4.7 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 $16,761KY $3,604
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.