How much rates vary
Facilitymedian $2,291 · 10th to 90th $832 to $5,495Professionalmedian $479 · 10th to 90th $331 to $741
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 $426.58 Median $2,570.40 Typical High $5,011.87 | Facility | None | $426.58 | $2,570.40 | $5,011.87 |
Aetna Setting Professional Modifier None Typical Low $389.05 Median $537.03 Typical High $588.84 | Professional | None | $389.05 | $537.03 | $588.84 |
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 $398.11 Median $457.09 Typical High $741.31 | Professional | None | $398.11 | $457.09 | $741.31 |
Cigna Setting Facility Modifier None Typical Low $616.60 Median $1,819.70 Typical High $2,511.89 | Facility | None | $616.60 | $1,819.70 | $2,511.89 |
Cigna Setting Professional Modifier None Typical Low $331.13 Median $478.63 Typical High $741.31 | Professional | None | $331.13 | $478.63 | $741.31 |
Hometown Health Setting Professional Modifier None Typical Low $275.42 Median $501.19 Typical High $1,071.52 | Professional | None | $275.42 | $501.19 | $1,071.52 |
Hometown Health Setting Facility Modifier None Typical Low $1,698.24 Median $1,698.24 Typical High $1,698.24 | Facility | None | $1,698.24 | $1,698.24 | $1,698.24 |
Hometown Health Setting Professional Modifier None Typical Low $2.14 Median $575.44 Typical High $2,570.40 | Professional | None | $2.14 | $575.44 | $2,570.40 |
Select Health Setting Facility Modifier None Typical Low $380.19 Median $575.44 Typical High $4,265.80 | Facility | None | $380.19 | $575.44 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $309.03 Median $478.63 Typical High $707.95 | Professional | None | $309.03 | $478.63 | $707.95 |
United Setting Facility Modifier None Typical Low $954.99 Median $1,318.26 Typical High $3,311.31 | Facility | None | $954.99 | $1,318.26 | $3,311.31 |
United Setting Professional Modifier None Typical Low $281.84 Median $501.19 Typical High $776.25 | Professional | None | $281.84 | $501.19 | $776.25 |
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 $190.55 Median $251.19 Typical High $288.40 | Professional | 52 · Reduced service | $190.55 | $251.19 | $288.40 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $77.62 Median $102.33 Typical High $114.82 | Professional | 53 · Discontinued | $77.62 | $102.33 | $114.82 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $288.40 Median $380.19 Typical High $436.52 | Professional | 54 · Surgery only | $288.40 | $380.19 | $436.52 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $57.54 Median $75.86 Typical High $87.10 | Professional | 55 · Aftercare only | $57.54 | $75.86 | $87.10 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $38.90 Median $50.12 Typical High $57.54 | Professional | 56 · Pre-op care only | $38.90 | $50.12 | $57.54 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $269.15 Median $354.81 Typical High $407.38 | Professional | 78 · Unplanned return to OR | $269.15 | $354.81 | $407.38 |
Where Nevada sits
The same service costs 5.8 times more in Alabama 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
AL $8,423MT $1,458
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.