How much rates vary
Facilitymedian $676 · 10th to 90th $107 to $2,570Professionalmedian $589 · 10th to 90th $138 to $1,023
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 $162.18 Median $1,698.24 Typical High $4,365.16 | Facility | None | $162.18 | $1,698.24 | $4,365.16 |
Aetna Setting Professional Modifier None Typical Low $134.90 Median $660.69 Typical High $1,023.29 | Professional | None | $134.90 | $660.69 | $1,023.29 |
Anthem BCBS Setting Professional Modifier None Typical Low $151.36 Median $602.56 Typical High $1,047.13 | Professional | None | $151.36 | $602.56 | $1,047.13 |
Cigna Setting Facility Modifier None Typical Low $562.34 Median $758.58 Typical High $2,137.96 | Facility | None | $562.34 | $758.58 | $2,137.96 |
Cigna Setting Professional Modifier None Typical Low $102.33 Median $588.84 Typical High $954.99 | Professional | None | $102.33 | $588.84 | $954.99 |
Hometown Health Setting Professional Modifier None Typical Low $123.03 Median $512.86 Typical High $977.24 | Professional | None | $123.03 | $512.86 | $977.24 |
Hometown Health Setting Professional Modifier None Typical Low $1.12 Median $186.21 Typical High $870.96 | Professional | None | $1.12 | $186.21 | $870.96 |
Select Health Setting Facility Modifier None Typical Low $125.89 Median $575.44 Typical High $4,265.80 | Facility | None | $125.89 | $575.44 | $4,265.80 |
United Setting Facility Modifier None Typical Low $97.72 Median $245.47 Typical High $1,949.84 | Facility | None | $97.72 | $245.47 | $1,949.84 |
United Setting Professional Modifier None Typical Low $151.36 Median $630.96 Typical High $1,071.52 | Professional | None | $151.36 | $630.96 | $1,071.52 |
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 $79.43 Median $89.13 Typical High $331.13 | Professional | 52 · Reduced service | $79.43 | $89.13 | $331.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $31.62 Median $35.48 Typical High $134.90 | Professional | 53 · Discontinued | $31.62 | $35.48 | $134.90 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $120.23 Median $131.83 Typical High $501.19 | Professional | 54 · Surgery only | $120.23 | $131.83 | $501.19 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $23.99 Median $26.30 Typical High $100.00 | Professional | 55 · Aftercare only | $23.99 | $26.30 | $100.00 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $15.85 Median $17.78 Typical High $67.61 | Professional | 56 · Pre-op care only | $15.85 | $17.78 | $67.61 |
Where Nevada sits
The same service costs 17.4 times more in Alabama 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
AL $9,157MT $526
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.