How much rates vary
Facilitymedian $6,166 · 10th to 90th $1,445 to $12,589Professionalmedian $646 · 10th to 90th $490 to $1,023
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 $645.65 Median $3,467.37 Typical High $10,715.19 | Facility | None | $645.65 | $3,467.37 | $10,715.19 |
Aetna Setting Professional Modifier None Typical Low $588.84 Median $588.84 Typical High $645.65 | Professional | None | $588.84 | $588.84 | $645.65 |
Anthem BCBS Setting Facility Modifier None Typical Low $4,897.79 Median $8,128.31 Typical High $11,220.18 | Facility | None | $4,897.79 | $8,128.31 | $11,220.18 |
Anthem BCBS Setting Professional Modifier None Typical Low $602.56 Median $691.83 Typical High $1,122.02 | Professional | None | $602.56 | $691.83 | $1,122.02 |
Cigna Setting Facility Modifier None Typical Low $724.44 Median $10,000.00 Typical High $14,454.40 | Facility | None | $724.44 | $10,000.00 | $14,454.40 |
Cigna Setting Professional Modifier None Typical Low $512.86 Median $575.44 Typical High $1,047.13 | Professional | None | $512.86 | $575.44 | $1,047.13 |
Hometown Health Setting Professional Modifier None Typical Low $6.46 Median $549.54 Typical High $977.24 | Professional | None | $6.46 | $549.54 | $977.24 |
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 $4.79 Median $4.79 Typical High $851.14 | Professional | None | $4.79 | $4.79 | $851.14 |
Select Health Setting Facility Modifier None Typical Low $575.44 Median $575.44 Typical High $4,265.80 | Facility | None | $575.44 | $575.44 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $457.09 Median $575.44 Typical High $1,148.15 | Professional | None | $457.09 | $575.44 | $1,148.15 |
United Setting Facility Modifier None Typical Low $1,905.46 Median $3,090.30 Typical High $11,481.54 | Facility | None | $1,905.46 | $3,090.30 | $11,481.54 |
United Setting Professional Modifier None Typical Low $478.63 Median $630.96 Typical High $977.24 | Professional | None | $478.63 | $630.96 | $977.24 |
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 $295.12 Median $295.12 Typical High $323.59 | Professional | 52 · Reduced service | $295.12 | $295.12 | $323.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $117.49 Median $117.49 Typical High $128.82 | Professional | 53 · Discontinued | $117.49 | $117.49 | $128.82 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $436.52 Median $436.52 Typical High $478.63 | Professional | 54 · Surgery only | $436.52 | $436.52 | $478.63 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $87.10 Median $87.10 Typical High $95.50 | Professional | 55 · Aftercare only | $87.10 | $87.10 | $95.50 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $58.88 Median $58.88 Typical High $64.57 | Professional | 56 · Pre-op care only | $58.88 | $58.88 | $64.57 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $407.38 Median $407.38 Typical High $446.68 | Professional | 78 · Unplanned return to OR | $407.38 | $407.38 | $446.68 |
Where Nevada sits
The same service costs 10.1 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 $19,890MT $1,977
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.