How much rates vary
Facilitymedian $2,570 · 10th to 90th $389 to $5,129Professionalmedian $263 · 10th to 90th $200 to $407
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 $263.03 Median $3,981.07 Typical High $10,715.19 | Facility | None | $263.03 | $3,981.07 | $10,715.19 |
Aetna Setting Professional Modifier None Typical Low $263.03 Median $263.03 Typical High $446.68 | Professional | None | $263.03 | $263.03 | $446.68 |
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 $229.09 Median $281.84 Typical High $512.86 | Professional | None | $229.09 | $281.84 | $512.86 |
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 $199.53 Median $213.80 Typical High $380.19 | Professional | None | $199.53 | $213.80 | $380.19 |
Hometown Health Setting Professional Modifier None Typical Low $3.63 Median $263.03 Typical High $371.54 | Professional | None | $3.63 | $263.03 | $371.54 |
Hometown Health Setting Professional Modifier None Typical Low $3.09 Median $3.09 Typical High $316.23 | Professional | None | $3.09 | $3.09 | $316.23 |
Select Health Setting Facility Modifier None Typical Low $208.93 Median $208.93 Typical High $4,265.80 | Facility | None | $208.93 | $208.93 | $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 $199.53 Median $302.00 Typical High $407.38 | Professional | None | $199.53 | $302.00 | $407.38 |
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 $131.83 Median $131.83 Typical High $131.83 | Professional | 52 · Reduced service | $131.83 | $131.83 | $131.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $52.48 Median $52.48 Typical High $52.48 | Professional | 53 · Discontinued | $52.48 | $52.48 | $52.48 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $194.98 Median $199.53 Typical High $199.53 | Professional | 54 · Surgery only | $194.98 | $199.53 | $199.53 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $39.81 Median $39.81 Typical High $39.81 | Professional | 55 · Aftercare only | $39.81 | $39.81 | $39.81 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $26.30 Median $26.30 Typical High $26.30 | Professional | 56 · Pre-op care only | $26.30 | $26.30 | $26.30 |
Where Nevada sits
The same service costs 7.3 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 $5,199MT $710
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.