How much rates vary
Facilitymedian $3,467 · 10th to 90th $1,259 to $5,754Professionalmedian $1,175 · 10th to 90th $851 to $1,820
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 $1,230.27 Median $3,162.28 Typical High $7,244.36 | Facility | None | $1,230.27 | $3,162.28 | $7,244.36 |
Aetna Setting Professional Modifier None Typical Low $1,174.90 Median $1,174.90 Typical High $1,659.59 | Professional | None | $1,174.90 | $1,174.90 | $1,659.59 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,951.21 Median $4,677.35 Typical High $6,165.95 | Facility | None | $2,951.21 | $4,677.35 | $6,165.95 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,096.48 Median $1,318.26 Typical High $2,238.72 | Professional | None | $1,096.48 | $1,318.26 | $2,238.72 |
Cigna Setting Facility Modifier None Typical Low $691.83 Median $3,162.28 Typical High $4,570.88 | Facility | None | $691.83 | $3,162.28 | $4,570.88 |
Cigna Setting Professional Modifier None Typical Low $851.14 Median $912.01 Typical High $1,621.81 | Professional | None | $851.14 | $912.01 | $1,621.81 |
Hometown Health Setting Professional Modifier None Typical Low $10.72 Median $1,096.48 Typical High $1,659.59 | Professional | None | $10.72 | $1,096.48 | $1,659.59 |
Hometown Health Setting Facility Modifier None Typical Low $3,162.28 Median $3,162.28 Typical High $3,162.28 | Facility | None | $3,162.28 | $3,162.28 | $3,162.28 |
Hometown Health Setting Professional Modifier None Typical Low $9.12 Median $9.12 Typical High $1,479.11 | Professional | None | $9.12 | $9.12 | $1,479.11 |
Select Health Setting Facility Modifier None Typical Low $1,000.00 Median $1,000.00 Typical High $4,265.80 | Facility | None | $1,000.00 | $1,000.00 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $891.25 Median $891.25 Typical High $891.25 | Professional | None | $891.25 | $891.25 | $891.25 |
United Setting Facility Modifier None Typical Low $1,621.81 Median $2,398.83 Typical High $6,918.31 | Facility | None | $1,621.81 | $2,398.83 | $6,918.31 |
United Setting Professional Modifier None Typical Low $912.01 Median $1,174.90 Typical High $1,659.59 | Professional | None | $912.01 | $1,174.90 | $1,659.59 |
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 $575.44 Median $575.44 Typical High $616.60 | Professional | 52 · Reduced service | $575.44 | $575.44 | $616.60 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $234.42 Median $234.42 Typical High $245.47 | Professional | 53 · Discontinued | $234.42 | $234.42 | $245.47 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $870.96 Median $870.96 Typical High $912.01 | Professional | 54 · Surgery only | $870.96 | $870.96 | $912.01 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $173.78 Median $173.78 Typical High $181.97 | Professional | 55 · Aftercare only | $173.78 | $173.78 | $181.97 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $117.49 Median $117.49 Typical High $123.03 | Professional | 56 · Pre-op care only | $117.49 | $117.49 | $123.03 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $812.83 Median $812.83 Typical High $851.14 | Professional | 78 · Unplanned return to OR | $812.83 | $812.83 | $851.14 |
Where Nevada sits
The same service costs 3.4 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 $11,546MT $3,436
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.