How much rates vary
Facilitymedian $3,631 · 10th to 90th $1,122 to $6,918Professionalmedian $692 · 10th to 90th $537 to $1,072
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 $691.83 Median $3,162.28 Typical High $7,244.36 | Facility | None | $691.83 | $3,162.28 | $7,244.36 |
Aetna Setting Professional Modifier None Typical Low $630.96 Median $630.96 Typical High $691.83 | Professional | None | $630.96 | $630.96 | $691.83 |
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 $645.65 Median $741.31 Typical High $1,174.90 | Professional | None | $645.65 | $741.31 | $1,174.90 |
Cigna Setting Facility Modifier None Typical Low $724.44 Median $5,754.40 Typical High $8,317.64 | Facility | None | $724.44 | $5,754.40 | $8,317.64 |
Cigna Setting Professional Modifier None Typical Low $537.03 Median $562.34 Typical High $1,122.02 | Professional | None | $537.03 | $562.34 | $1,122.02 |
Hometown Health Setting Professional Modifier None Typical Low $13.49 Median $575.44 Typical High $1,047.13 | Professional | None | $13.49 | $575.44 | $1,047.13 |
Hometown Health Setting Facility Modifier None Typical Low $5,754.40 Median $5,754.40 Typical High $5,754.40 | Facility | None | $5,754.40 | $5,754.40 | $5,754.40 |
Hometown Health Setting Professional Modifier None Typical Low $10.23 Median $10.23 Typical High $891.25 | Professional | None | $10.23 | $10.23 | $891.25 |
Select Health Setting Facility Modifier None Typical Low $602.56 Median $602.56 Typical High $4,265.80 | Facility | None | $602.56 | $602.56 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $478.63 Median $602.56 Typical High $1,202.26 | Professional | None | $478.63 | $602.56 | $1,202.26 |
United Setting Facility Modifier None Typical Low $1,174.90 Median $1,698.24 Typical High $4,073.80 | Facility | None | $1,174.90 | $1,698.24 | $4,073.80 |
United Setting Professional Modifier None Typical Low $562.34 Median $660.69 Typical High $1,000.00 | Professional | None | $562.34 | $660.69 | $1,000.00 |
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 $316.23 Median $316.23 Typical High $346.74 | Professional | 52 · Reduced service | $316.23 | $316.23 | $346.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $125.89 Median $125.89 Typical High $138.04 | Professional | 53 · Discontinued | $125.89 | $125.89 | $138.04 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $467.74 Median $467.74 Typical High $512.86 | Professional | 54 · Surgery only | $467.74 | $467.74 | $512.86 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $93.33 Median $93.33 Typical High $102.33 | Professional | 55 · Aftercare only | $93.33 | $93.33 | $102.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $63.10 Median $63.10 Typical High $69.18 | Professional | 56 · Pre-op care only | $63.10 | $63.10 | $69.18 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $436.52 Median $436.52 Typical High $478.63 | Professional | 78 · Unplanned return to OR | $436.52 | $436.52 | $478.63 |
Where Nevada sits
The same service costs 5.4 times more in Alaska 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
AK $11,142MT $2,070
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.