How much rates vary
Facilitymedian $2,239 · 10th to 90th $794 to $4,467Professionalmedian $537 · 10th to 90th $170 to $1,288
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 $218.78 Median $2,238.72 Typical High $5,011.87 | Facility | None | $218.78 | $2,238.72 | $5,011.87 |
Aetna Setting Professional Modifier None Typical Low $177.83 Median $660.69 Typical High $977.24 | Professional | None | $177.83 | $660.69 | $977.24 |
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 $169.82 Median $575.44 Typical High $1,288.25 | Professional | None | $169.82 | $575.44 | $1,288.25 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $1,819.70 Typical High $2,570.40 | Facility | None | $501.19 | $1,819.70 | $2,570.40 |
Cigna Setting Professional Modifier None Typical Low $169.82 Median $316.23 Typical High $1,202.26 | Professional | None | $169.82 | $316.23 | $1,202.26 |
Hometown Health Setting Professional Modifier None Typical Low $151.36 Median $645.65 Typical High $2,137.96 | Professional | None | $151.36 | $645.65 | $2,137.96 |
Hometown Health Setting Facility Modifier None Typical Low $1,819.70 Median $1,819.70 Typical High $1,819.70 | Facility | None | $1,819.70 | $1,819.70 | $1,819.70 |
Hometown Health Setting Professional Modifier None Typical Low $1.26 Median $223.87 Typical High $2,691.53 | Professional | None | $1.26 | $223.87 | $2,691.53 |
Select Health Setting Facility Modifier None Typical Low $147.91 Median $724.44 Typical High $4,265.80 | Facility | None | $147.91 | $724.44 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $645.65 Median $645.65 Typical High $645.65 | Professional | None | $645.65 | $645.65 | $645.65 |
United Setting Facility Modifier None Typical Low $954.99 Median $1,318.26 Typical High $3,311.31 | Facility | None | $954.99 | $1,318.26 | $3,311.31 |
United Setting Professional Modifier None Typical Low $165.96 Median $501.19 Typical High $1,348.96 | Professional | None | $165.96 | $501.19 | $1,348.96 |
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 $89.13 Median $158.49 Typical High $489.78 | Professional | 52 · Reduced service | $89.13 | $158.49 | $489.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $35.48 Median $63.10 Typical High $194.98 | Professional | 53 · Discontinued | $35.48 | $63.10 | $194.98 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $134.90 Median $234.42 Typical High $724.44 | Professional | 54 · Surgery only | $134.90 | $234.42 | $724.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $26.92 Median $47.86 Typical High $144.54 | Professional | 55 · Aftercare only | $26.92 | $47.86 | $144.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $17.78 Median $31.62 Typical High $97.72 | Professional | 56 · Pre-op care only | $17.78 | $31.62 | $97.72 |
Where Nevada sits
The same service costs 4.0 times more in Colorado 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
CO $5,041MT $1,267
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.