How much rates vary
Facilitymedian $1,514 · 10th to 90th $363 to $4,365Professionalmedian $851 · 10th to 90th $115 to $1,514
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 $123.03 Median $2,238.72 Typical High $5,011.87 | Facility | None | $123.03 | $2,238.72 | $5,011.87 |
Aetna Setting Professional Modifier None Typical Low $123.03 Median $870.96 Typical High $1,380.38 | Professional | None | $123.03 | $870.96 | $1,380.38 |
Ambetter Setting Professional Modifier None Typical Low $154.88 Median $154.88 Typical High $154.88 | Professional | None | $154.88 | $154.88 | $154.88 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,238.72 Median $3,548.13 Typical High $4,466.84 | Facility | None | $2,238.72 | $3,548.13 | $4,466.84 |
Anthem BCBS Setting Professional Modifier None Typical Low $114.82 Median $891.25 Typical High $1,905.46 | Professional | None | $114.82 | $891.25 | $1,905.46 |
Cigna Setting Facility Modifier None Typical Low $691.83 Median $851.14 Typical High $1,479.11 | Facility | None | $691.83 | $851.14 | $1,479.11 |
Cigna Setting Professional Modifier None Typical Low $100.00 Median $812.83 Typical High $1,318.26 | Professional | None | $100.00 | $812.83 | $1,318.26 |
Hometown Health Setting Professional Modifier None Typical Low $97.72 Median $794.33 Typical High $1,445.44 | Professional | None | $97.72 | $794.33 | $1,445.44 |
Hometown Health Setting Facility Modifier None Typical Low $776.25 Median $776.25 Typical High $776.25 | Facility | None | $776.25 | $776.25 | $776.25 |
Hometown Health Setting Professional Modifier None Typical Low $1.51 Median $154.88 Typical High $1,819.70 | Professional | None | $1.51 | $154.88 | $1,819.70 |
Select Health Setting Facility Modifier None Typical Low $104.71 Median $1,202.26 Typical High $4,265.80 | Facility | None | $104.71 | $1,202.26 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $87.10 Median $134.90 Typical High $1,096.48 | Professional | None | $87.10 | $134.90 | $1,096.48 |
United Setting Facility Modifier None Typical Low $302.00 Median $512.86 Typical High $2,137.96 | Facility | None | $302.00 | $512.86 | $2,137.96 |
United Setting Professional Modifier None Typical Low $120.23 Median $977.24 Typical High $1,479.11 | Professional | None | $120.23 | $977.24 | $1,479.11 |
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 $61.66 Median $398.11 Typical High $691.83 | Professional | 52 · Reduced service | $61.66 | $398.11 | $691.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $158.49 Typical High $275.42 | Professional | 53 · Discontinued | $24.55 | $158.49 | $275.42 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $91.20 Median $588.84 Typical High $1,023.29 | Professional | 54 · Surgery only | $91.20 | $588.84 | $1,023.29 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $18.20 Median $117.49 Typical High $204.17 | Professional | 55 · Aftercare only | $18.20 | $117.49 | $204.17 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.30 Median $79.43 Typical High $138.04 | Professional | 56 · Pre-op care only | $12.30 | $79.43 | $138.04 |
Where Nevada sits
The same service costs 5.5 times more in Hawaii 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
HI $4,440MD $808
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.