How much rates vary
Facilitymedian $2,239 · 10th to 90th $1,047 to $5,495Professionalmedian $1,318 · 10th to 90th $1,023 to $2,042
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 $1,348.96 Median $2,570.40 Typical High $6,165.95 | Facility | None | $1,348.96 | $2,570.40 | $6,165.95 |
Aetna Setting Professional Modifier None Typical Low $1,230.27 Median $1,230.27 Typical High $1,348.96 | Professional | None | $1,230.27 | $1,230.27 | $1,348.96 |
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 $1,258.93 Median $1,445.44 Typical High $2,344.23 | Professional | None | $1,258.93 | $1,445.44 | $2,344.23 |
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 $1,047.13 Median $1,071.52 Typical High $1,862.09 | Professional | None | $1,047.13 | $1,071.52 | $1,862.09 |
Hometown Health Setting Professional Modifier None Typical Low $15.14 Median $1,023.29 Typical High $1,862.09 | Professional | None | $15.14 | $1,023.29 | $1,862.09 |
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 $11.48 Median $11.48 Typical High $1,698.24 | Professional | None | $11.48 | $11.48 | $1,698.24 |
Select Health Setting Facility Modifier None Typical Low $1,148.15 Median $1,148.15 Typical High $4,265.80 | Facility | None | $1,148.15 | $1,148.15 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $912.01 Median $1,148.15 Typical High $2,344.23 | Professional | None | $912.01 | $1,148.15 | $2,344.23 |
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 $1,023.29 Median $1,318.26 Typical High $1,995.26 | Professional | None | $1,023.29 | $1,318.26 | $1,995.26 |
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 $933.25 Median $933.25 Typical High $1,023.29 | Professional | 54 · Surgery only | $933.25 | $933.25 | $1,023.29 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $870.96 Median $870.96 Typical High $954.99 | Professional | 78 · Unplanned return to OR | $870.96 | $870.96 | $954.99 |
Where Nevada sits
The same service costs 3.4 times more in Alaska than in Maryland. 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 $8,759MD $2,608
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.