How much rates vary
Facilitymedian $4,467 · 10th to 90th $1,445 to $10,965Professionalmedian $1,148 · 10th to 90th $891 to $1,862
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 $1,148.15 Median $3,162.28 Typical High $7,244.36 | Facility | None | $1,148.15 | $3,162.28 | $7,244.36 |
Aetna Setting Professional Modifier None Typical Low $1,047.13 Median $1,047.13 Typical High $1,148.15 | Professional | None | $1,047.13 | $1,047.13 | $1,148.15 |
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 $1,071.52 Median $1,230.27 Typical High $1,949.84 | Professional | None | $1,071.52 | $1,230.27 | $1,949.84 |
Cigna Setting Facility Modifier None Typical Low $691.83 Median $10,471.29 Typical High $14,454.40 | Facility | None | $691.83 | $10,471.29 | $14,454.40 |
Cigna Setting Professional Modifier None Typical Low $891.25 Median $933.25 Typical High $1,737.80 | Professional | None | $891.25 | $933.25 | $1,737.80 |
Hometown Health Setting Professional Modifier None Typical Low $19.50 Median $1,122.02 Typical High $2,187.76 | Professional | None | $19.50 | $1,122.02 | $2,187.76 |
Hometown Health Setting Facility Modifier None Typical Low $10,000.00 Median $10,000.00 Typical High $10,000.00 | Facility | None | $10,000.00 | $10,000.00 | $10,000.00 |
Hometown Health Setting Professional Modifier None Typical Low $14.79 Median $14.79 Typical High $1,995.26 | Professional | None | $14.79 | $14.79 | $1,995.26 |
Select Health Setting Facility Modifier None Typical Low $1,348.96 Median $1,348.96 Typical High $4,265.80 | Facility | None | $1,348.96 | $1,348.96 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $1,071.52 Median $1,202.26 Typical High $2,511.89 | Professional | None | $1,071.52 | $1,202.26 | $2,511.89 |
United Setting Facility Modifier None Typical Low $1,905.46 Median $3,019.95 Typical High $6,456.54 | Facility | None | $1,905.46 | $3,019.95 | $6,456.54 |
United Setting Professional Modifier None Typical Low $933.25 Median $1,122.02 Typical High $1,737.80 | Professional | None | $933.25 | $1,122.02 | $1,737.80 |
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 $524.81 Median $524.81 Typical High $575.44 | Professional | 52 · Reduced service | $524.81 | $524.81 | $575.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $208.93 Median $208.93 Typical High $229.09 | Professional | 53 · Discontinued | $208.93 | $208.93 | $229.09 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $776.25 Median $776.25 Typical High $851.14 | Professional | 54 · Surgery only | $776.25 | $776.25 | $851.14 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $154.88 Median $154.88 Typical High $169.82 | Professional | 55 · Aftercare only | $154.88 | $154.88 | $169.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $104.71 Median $104.71 Typical High $114.82 | Professional | 56 · Pre-op care only | $104.71 | $104.71 | $114.82 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $724.44 Median $724.44 Typical High $794.33 | Professional | 78 · Unplanned return to OR | $724.44 | $724.44 | $794.33 |
Where Nevada sits
The same service costs 6.0 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 $15,585KY $2,601
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.