How much rates vary
Facilitymedian $2,239 · 10th to 90th $1,047 to $5,495Professionalmedian $437 · 10th to 90th $331 to $692
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 $446.68 Median $2,570.40 Typical High $6,165.95 | Facility | None | $446.68 | $2,570.40 | $6,165.95 |
Aetna Setting Professional Modifier None Typical Low $407.38 Median $407.38 Typical High $446.68 | Professional | None | $407.38 | $407.38 | $446.68 |
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 $416.87 Median $478.63 Typical High $776.25 | Professional | None | $416.87 | $478.63 | $776.25 |
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 $346.74 Median $354.81 Typical High $616.60 | Professional | None | $346.74 | $354.81 | $616.60 |
Hometown Health Setting Professional Modifier None Typical Low $5.13 Median $354.81 Typical High $691.83 | Professional | None | $5.13 | $354.81 | $691.83 |
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 $3.80 Median $3.80 Typical High $602.56 | Professional | None | $3.80 | $3.80 | $602.56 |
Select Health Setting Facility Modifier None Typical Low $398.11 Median $398.11 Typical High $4,265.80 | Facility | None | $398.11 | $398.11 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $323.59 Median $398.11 Typical High $812.83 | Professional | None | $323.59 | $398.11 | $812.83 |
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 $331.13 Median $436.52 Typical High $645.65 | Professional | None | $331.13 | $436.52 | $645.65 |
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 $309.03 Median $309.03 Typical High $338.84 | Professional | 54 · Surgery only | $309.03 | $309.03 | $338.84 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $288.40 Median $288.40 Typical High $316.23 | Professional | 78 · Unplanned return to OR | $288.40 | $288.40 | $316.23 |
Where Nevada sits
The same service costs 4.9 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 $6,755MT $1,384
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.