How much rates vary
Facilitymedian $3,311 · 10th to 90th $912 to $5,754Professionalmedian $501 · 10th to 90th $407 to $692
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 $501.19 Median $2,570.40 Typical High $6,165.95 | Facility | None | $501.19 | $2,570.40 | $6,165.95 |
Aetna Setting Professional Modifier None Typical Low $501.19 Median $501.19 Typical High $524.81 | Professional | None | $501.19 | $501.19 | $524.81 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,096.48 Median $4,677.35 Typical High $6,165.95 | Facility | None | $1,096.48 | $4,677.35 | $6,165.95 |
Anthem BCBS Setting Professional Modifier None Typical Low $467.74 Median $537.03 Typical High $870.96 | Professional | None | $467.74 | $537.03 | $870.96 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $4,073.80 Typical High $5,623.41 | Facility | None | $741.31 | $4,073.80 | $5,623.41 |
Cigna Setting Professional Modifier None Typical Low $407.38 Median $446.68 Typical High $660.69 | Professional | None | $407.38 | $446.68 | $660.69 |
Hometown Health Setting Professional Modifier None Typical Low $398.11 Median $501.19 Typical High $645.65 | Professional | None | $398.11 | $501.19 | $645.65 |
Hometown Health Setting Facility Modifier None Typical Low $3,890.45 Median $3,890.45 Typical High $3,890.45 | Facility | None | $3,890.45 | $3,890.45 | $3,890.45 |
Hometown Health Setting Professional Modifier None Typical Low $616.60 Median $616.60 Typical High $616.60 | Professional | None | $616.60 | $616.60 | $616.60 |
Select Health Setting Facility Modifier None Typical Low $416.87 Median $416.87 Typical High $4,265.80 | Facility | None | $416.87 | $416.87 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $295.12 Median $380.19 Typical High $1,071.52 | Professional | None | $295.12 | $380.19 | $1,071.52 |
United Setting Facility Modifier None Typical Low $954.99 Median $1,348.96 Typical High $3,311.31 | Facility | None | $954.99 | $1,348.96 | $3,311.31 |
United Setting Professional Modifier None Typical Low $416.87 Median $489.78 Typical High $691.83 | Professional | None | $416.87 | $489.78 | $691.83 |
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 $251.19 Median $251.19 Typical High $251.19 | Professional | 52 · Reduced service | $251.19 | $251.19 | $251.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $100.00 Median $100.00 Typical High $100.00 | Professional | 53 · Discontinued | $100.00 | $100.00 | $100.00 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $371.54 Median $371.54 Typical High $371.54 | Professional | 54 · Surgery only | $371.54 | $371.54 | $371.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $75.86 Median $75.86 Typical High $75.86 | Professional | 55 · Aftercare only | $75.86 | $75.86 | $75.86 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $50.12 Median $50.12 Typical High $50.12 | Professional | 56 · Pre-op care only | $50.12 | $50.12 | $50.12 |
Where Nevada sits
The same service costs 5.9 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 $8,723MT $1,483
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.