How much rates vary
Facilitymedian $3,981 · 10th to 90th $1,514 to $6,166Professionalmedian $1,072 · 10th to 90th $832 to $1,862
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 $1,071.52 Median $3,981.07 Typical High $8,128.31 | Facility | None | $1,071.52 | $3,981.07 | $8,128.31 |
Aetna Setting Professional Modifier None Typical Low $1,047.13 Median $1,071.52 Typical High $3,981.07 | Professional | None | $1,047.13 | $1,071.52 | $3,981.07 |
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 $912.01 Median $1,148.15 Typical High $2,041.74 | Professional | None | $912.01 | $1,148.15 | $2,041.74 |
Cigna Setting Facility Modifier None Typical Low $691.83 Median $3,311.31 Typical High $4,786.30 | Facility | None | $691.83 | $3,311.31 | $4,786.30 |
Cigna Setting Professional Modifier None Typical Low $549.54 Median $831.76 Typical High $1,659.59 | Professional | None | $549.54 | $831.76 | $1,659.59 |
Hometown Health Setting Professional Modifier None Typical Low $16.22 Median $1,071.52 Typical High $1,445.44 | Professional | None | $16.22 | $1,071.52 | $1,445.44 |
Hometown Health Setting Facility Modifier None Typical Low $3,311.31 Median $3,311.31 Typical High $3,311.31 | Facility | None | $3,311.31 | $3,311.31 | $3,311.31 |
Hometown Health Setting Professional Modifier None Typical Low $13.80 Median $13.80 Typical High $1,230.27 | Professional | None | $13.80 | $13.80 | $1,230.27 |
Select Health Setting Facility Modifier None Typical Low $831.76 Median $831.76 Typical High $4,265.80 | Facility | None | $831.76 | $831.76 | $4,265.80 |
United Setting Facility Modifier None Typical Low $1,905.46 Median $3,019.95 Typical High $6,456.54 | Facility | None | $1,905.46 | $3,019.95 | $6,456.54 |
United Setting Professional Modifier None Typical Low $794.33 Median $1,071.52 Typical High $1,862.09 | Professional | None | $794.33 | $1,071.52 | $1,862.09 |
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 $524.81 Median $524.81 Typical High $524.81 | Professional | 52 · Reduced service | $524.81 | $524.81 | $524.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $208.93 Median $213.80 Typical High $213.80 | Professional | 53 · Discontinued | $208.93 | $213.80 | $213.80 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $794.33 Median $794.33 Typical High $794.33 | Professional | 54 · Surgery only | $794.33 | $794.33 | $794.33 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $158.49 Median $158.49 Typical High $158.49 | Professional | 55 · Aftercare only | $158.49 | $158.49 | $158.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $104.71 Median $107.15 Typical High $107.15 | Professional | 56 · Pre-op care only | $104.71 | $107.15 | $107.15 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $741.31 Median $741.31 Typical High $741.31 | Professional | 78 · Unplanned return to OR | $741.31 | $741.31 | $741.31 |
Where Nevada sits
The same service costs 4.7 times more in Alaska than in Kentucky. 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 $11,128KY $2,365
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.