How much rates vary
Facilitymedian $617 · 10th to 90th $98 to $2,570Professionalmedian $123 · 10th to 90th $79 to $195
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 $95.50 Median $1,698.24 Typical High $4,365.16 | Facility | None | $95.50 | $1,698.24 | $4,365.16 |
Aetna Setting Professional Modifier None Typical Low $95.50 Median $134.90 Typical High $158.49 | Professional | None | $95.50 | $134.90 | $158.49 |
Anthem BCBS Setting Professional Modifier None Typical Low $89.13 Median $151.36 Typical High $218.78 | Professional | None | $89.13 | $151.36 | $218.78 |
Cigna Setting Facility Modifier None Typical Low $407.38 Median $691.83 Typical High $2,691.53 | Facility | None | $407.38 | $691.83 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $79.43 Median $114.82 Typical High $190.55 | Professional | None | $79.43 | $114.82 | $190.55 |
Hometown Health Setting Professional Modifier None Typical Low $74.13 Median $107.15 Typical High $177.83 | Professional | None | $74.13 | $107.15 | $177.83 |
Hometown Health Setting Professional Modifier None Typical Low $0.72 Median $114.82 Typical High $223.87 | Professional | None | $0.72 | $114.82 | $223.87 |
Select Health Setting Facility Modifier None Typical Low $77.62 Median $147.91 Typical High $4,265.80 | Facility | None | $77.62 | $147.91 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $66.07 Median $93.33 Typical High $158.49 | Professional | None | $66.07 | $93.33 | $158.49 |
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 $77.62 Median $131.83 Typical High $199.53 | Professional | None | $77.62 | $131.83 | $199.53 |
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 $46.77 Median $67.61 Typical High $79.43 | Professional | 52 · Reduced service | $46.77 | $67.61 | $79.43 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.05 Median $26.92 Typical High $31.62 | Professional | 53 · Discontinued | $19.05 | $26.92 | $31.62 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $70.79 Median $102.33 Typical High $120.23 | Professional | 54 · Surgery only | $70.79 | $102.33 | $120.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $14.13 Median $20.42 Typical High $23.99 | Professional | 55 · Aftercare only | $14.13 | $20.42 | $23.99 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.33 Median $13.49 Typical High $15.85 | Professional | 56 · Pre-op care only | $9.33 | $13.49 | $15.85 |
Where Nevada sits
The same service costs 11.3 times more in Hawaii than in Delaware. 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 $2,996DE $264
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.