How much rates vary
Facilitymedian $2,291 · 10th to 90th $363 to $4,467Professionalmedian $398 · 10th to 90th $309 to $631
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 $467.74 Median $1,698.24 Typical High $4,466.84 | Facility | None | $467.74 | $1,698.24 | $4,466.84 |
Aetna Setting Professional Modifier None Typical Low $380.19 Median $380.19 Typical High $478.63 | Professional | None | $380.19 | $380.19 | $478.63 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,570.40 Median $3,801.89 Typical High $5,128.61 | Facility | None | $2,570.40 | $3,801.89 | $5,128.61 |
Anthem BCBS Setting Professional Modifier None Typical Low $354.81 Median $436.52 Typical High $794.33 | Professional | None | $354.81 | $436.52 | $794.33 |
Cigna Setting Facility Modifier None Typical Low $398.11 Median $2,290.87 Typical High $3,311.31 | Facility | None | $398.11 | $2,290.87 | $3,311.31 |
Cigna Setting Professional Modifier None Typical Low $309.03 Median $331.13 Typical High $602.56 | Professional | None | $309.03 | $331.13 | $602.56 |
Hometown Health Setting Professional Modifier None Typical Low $1.62 Median $354.81 Typical High $549.54 | Professional | None | $1.62 | $354.81 | $549.54 |
Hometown Health Setting Facility Modifier None Typical Low $2,290.87 Median $2,290.87 Typical High $2,290.87 | Facility | None | $2,290.87 | $2,290.87 | $2,290.87 |
Hometown Health Setting Professional Modifier None Typical Low $1.38 Median $1.38 Typical High $478.63 | Professional | None | $1.38 | $1.38 | $478.63 |
Select Health Setting Facility Modifier None Typical Low $323.59 Median $323.59 Typical High $4,265.80 | Facility | None | $323.59 | $323.59 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $288.40 Median $288.40 Typical High $288.40 | Professional | None | $288.40 | $288.40 | $288.40 |
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 $77.62 Median $398.11 Typical High $616.60 | Professional | None | $77.62 | $398.11 | $616.60 |
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 $186.21 Median $186.21 Typical High $234.42 | Professional | 52 · Reduced service | $186.21 | $186.21 | $234.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $75.86 Median $75.86 Typical High $93.33 | Professional | 53 · Discontinued | $75.86 | $75.86 | $93.33 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $281.84 Median $281.84 Typical High $346.74 | Professional | 54 · Surgery only | $281.84 | $281.84 | $346.74 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $56.23 Median $56.23 Typical High $69.18 | Professional | 55 · Aftercare only | $56.23 | $56.23 | $69.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $38.02 Median $38.02 Typical High $46.77 | Professional | 56 · Pre-op care only | $38.02 | $38.02 | $46.77 |
Where Nevada sits
The same service costs 5.2 times more in Alaska 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
AK $4,868DE $935
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.