How much rates vary
Facilitymedian $2,570 · 10th to 90th $389 to $5,129Professionalmedian $347 · 10th to 90th $263 to $537
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 $346.74 Median $3,981.07 Typical High $10,715.19 | Facility | None | $346.74 | $3,981.07 | $10,715.19 |
Aetna Setting Professional Modifier None Typical Low $338.84 Median $346.74 Typical High $575.44 | Professional | None | $338.84 | $346.74 | $575.44 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,570.40 Median $3,801.89 Typical High $5,128.61 | Facility | None | $2,570.40 | $3,801.89 | $5,128.61 |
Anthem BCBS Setting Professional Modifier None Typical Low $302.00 Median $363.08 Typical High $660.69 | Professional | None | $302.00 | $363.08 | $660.69 |
Cigna Setting Facility Modifier None Typical Low $562.34 Median $912.01 Typical High $6,309.57 | Facility | None | $562.34 | $912.01 | $6,309.57 |
Cigna Setting Professional Modifier None Typical Low $257.04 Median $275.42 Typical High $501.19 | Professional | None | $257.04 | $275.42 | $501.19 |
Hometown Health Setting Professional Modifier None Typical Low $5.25 Median $338.84 Typical High $478.63 | Professional | None | $5.25 | $338.84 | $478.63 |
Hometown Health Setting Professional Modifier None Typical Low $4.47 Median $4.47 Typical High $407.38 | Professional | None | $4.47 | $4.47 | $407.38 |
Select Health Setting Facility Modifier None Typical Low $275.42 Median $275.42 Typical High $4,265.80 | Facility | None | $275.42 | $275.42 | $4,265.80 |
United Setting Facility Modifier None Typical Low $302.00 Median $794.33 Typical High $2,951.21 | Facility | None | $302.00 | $794.33 | $2,951.21 |
United Setting Professional Modifier None Typical Low $263.03 Median $354.81 Typical High $537.03 | Professional | None | $263.03 | $354.81 | $537.03 |
5 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 $173.78 Median $173.78 Typical High $173.78 | Professional | 52 · Reduced service | $173.78 | $173.78 | $173.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $69.18 Median $69.18 Typical High $69.18 | Professional | 53 · Discontinued | $69.18 | $69.18 | $69.18 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $257.04 Median $263.03 Typical High $263.03 | Professional | 54 · Surgery only | $257.04 | $263.03 | $263.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $51.29 Median $52.48 Typical High $52.48 | Professional | 55 · Aftercare only | $51.29 | $52.48 | $52.48 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $34.67 Median $34.67 Typical High $34.67 | Professional | 56 · Pre-op care only | $34.67 | $34.67 | $34.67 |
Where Nevada sits
The same service costs 6.1 times more in Alaska than in Maryland. 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 $5,496MD $901
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.