How much rates vary
Facilitymedian $5,370 · 10th to 90th $1,445 to $9,772Professionalmedian $871 · 10th to 90th $661 to $1,288
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 $831.76 Median $3,162.28 Typical High $7,244.36 | Facility | None | $831.76 | $3,162.28 | $7,244.36 |
Aetna Setting Professional Modifier None Typical Low $758.58 Median $758.58 Typical High $831.76 | Professional | None | $758.58 | $758.58 | $831.76 |
Anthem BCBS Setting Facility Modifier None Typical Low $4,570.88 Median $7,762.47 Typical High $10,715.19 | Facility | None | $4,570.88 | $7,762.47 | $10,715.19 |
Anthem BCBS Setting Professional Modifier None Typical Low $776.25 Median $891.25 Typical High $1,445.44 | Professional | None | $776.25 | $891.25 | $1,445.44 |
Cigna Setting Facility Modifier None Typical Low $724.44 Median $5,623.41 Typical High $7,943.28 | Facility | None | $724.44 | $5,623.41 | $7,943.28 |
Cigna Setting Professional Modifier None Typical Low $660.69 Median $691.83 Typical High $1,318.26 | Professional | None | $660.69 | $691.83 | $1,318.26 |
Hometown Health Setting Professional Modifier None Typical Low $10.23 Median $707.95 Typical High $1,230.27 | Professional | None | $10.23 | $707.95 | $1,230.27 |
Hometown Health Setting Facility Modifier None Typical Low $5,370.32 Median $5,370.32 Typical High $5,370.32 | Facility | None | $5,370.32 | $5,370.32 | $5,370.32 |
Hometown Health Setting Professional Modifier None Typical Low $7.59 Median $7.59 Typical High $1,071.52 | Professional | None | $7.59 | $7.59 | $1,071.52 |
Select Health Setting Facility Modifier None Typical Low $724.44 Median $724.44 Typical High $4,265.80 | Facility | None | $724.44 | $724.44 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $575.44 Median $724.44 Typical High $1,445.44 | Professional | None | $575.44 | $724.44 | $1,445.44 |
United Setting Facility Modifier None Typical Low $1,905.46 Median $3,090.30 Typical High $7,244.36 | Facility | None | $1,905.46 | $3,090.30 | $7,244.36 |
United Setting Professional Modifier None Typical Low $676.08 Median $870.96 Typical High $1,258.93 | Professional | None | $676.08 | $870.96 | $1,258.93 |
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 $380.19 Median $380.19 Typical High $416.87 | Professional | 52 · Reduced service | $380.19 | $380.19 | $416.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $151.36 Median $151.36 Typical High $165.96 | Professional | 53 · Discontinued | $151.36 | $151.36 | $165.96 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $562.34 Median $562.34 Typical High $630.96 | Professional | 54 · Surgery only | $562.34 | $562.34 | $630.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $114.82 Median $114.82 Typical High $125.89 | Professional | 55 · Aftercare only | $114.82 | $114.82 | $125.89 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $75.86 Median $75.86 Typical High $83.18 | Professional | 56 · Pre-op care only | $75.86 | $75.86 | $83.18 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $524.81 Median $524.81 Typical High $588.84 | Professional | 78 · Unplanned return to OR | $524.81 | $524.81 | $588.84 |
Where Nevada sits
The same service costs 5.9 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 $14,644MT $2,489
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.