How much rates vary
Facilitymedian $5,370 · 10th to 90th $1,259 to $10,715Professionalmedian $1,000 · 10th to 90th $759 to $1,549
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 $1,148.15 Median $3,981.07 Typical High $8,128.31 | Facility | None | $1,148.15 | $3,981.07 | $8,128.31 |
Aetna Setting Professional Modifier None Typical Low $933.25 Median $933.25 Typical High $1,288.25 | Professional | None | $933.25 | $933.25 | $1,288.25 |
Anthem BCBS Setting Facility Modifier None Typical Low $3,311.31 Median $5,370.32 Typical High $9,332.54 | Facility | None | $3,311.31 | $5,370.32 | $9,332.54 |
Anthem BCBS Setting Professional Modifier None Typical Low $891.25 Median $1,071.52 Typical High $1,949.84 | Professional | None | $891.25 | $1,071.52 | $1,949.84 |
Cigna Setting Facility Modifier None Typical Low $870.96 Median $5,888.44 Typical High $17,782.79 | Facility | None | $870.96 | $5,888.44 | $17,782.79 |
Cigna Setting Professional Modifier None Typical Low $758.58 Median $758.58 Typical High $1,479.11 | Professional | None | $758.58 | $758.58 | $1,479.11 |
Hometown Health Setting Professional Modifier None Typical Low $16.22 Median $933.25 Typical High $1,412.54 | Professional | None | $16.22 | $933.25 | $1,412.54 |
Hometown Health Setting Facility Modifier None Typical Low $5,370.32 Median $5,370.32 Typical High $5,370.32 | Facility | None | $5,370.32 | $5,370.32 | $5,370.32 |
Hometown Health Setting Professional Modifier None Typical Low $14.13 Median $14.13 Typical High $1,202.26 | Professional | None | $14.13 | $14.13 | $1,202.26 |
Select Health Setting Facility Modifier None Typical Low $812.83 Median $812.83 Typical High $4,265.80 | Facility | None | $812.83 | $812.83 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $724.44 Median $724.44 Typical High $724.44 | Professional | None | $724.44 | $724.44 | $724.44 |
United Setting Facility Modifier None Typical Low $1,621.81 Median $2,398.83 Typical High $6,165.95 | Facility | None | $1,621.81 | $2,398.83 | $6,165.95 |
United Setting Professional Modifier None Typical Low $812.83 Median $977.24 Typical High $1,445.44 | Professional | None | $812.83 | $977.24 | $1,445.44 |
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 $467.74 Median $467.74 Typical High $575.44 | Professional | 52 · Reduced service | $467.74 | $467.74 | $575.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $186.21 Median $186.21 Typical High $229.09 | Professional | 53 · Discontinued | $186.21 | $186.21 | $229.09 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $707.95 Median $707.95 Typical High $870.96 | Professional | 54 · Surgery only | $707.95 | $707.95 | $870.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $141.25 Median $141.25 Typical High $173.78 | Professional | 55 · Aftercare only | $141.25 | $141.25 | $173.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $93.33 Median $93.33 Typical High $114.82 | Professional | 56 · Pre-op care only | $93.33 | $93.33 | $114.82 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $660.69 Median $660.69 Typical High $812.83 | Professional | 78 · Unplanned return to OR | $660.69 | $660.69 | $812.83 |
Where Nevada sits
The same service costs 4.6 times more in Wyoming 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
WY $13,103MT $2,825
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.