How much rates vary
Facilitymedian $2,239 · 10th to 90th $813 to $4,467Professionalmedian $575 · 10th to 90th $191 to $1,318
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 $257.04 Median $2,238.72 Typical High $5,011.87 | Facility | None | $257.04 | $2,238.72 | $5,011.87 |
Aetna Setting Professional Modifier None Typical Low $208.93 Median $794.33 Typical High $1,023.29 | Professional | None | $208.93 | $794.33 | $1,023.29 |
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 $194.98 Median $660.69 Typical High $1,318.26 | Professional | None | $194.98 | $660.69 | $1,318.26 |
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 $141.25 Median $331.13 Typical High $1,258.93 | Professional | None | $141.25 | $331.13 | $1,258.93 |
Hometown Health Setting Professional Modifier None Typical Low $173.78 Median $676.08 Typical High $2,137.96 | Professional | None | $173.78 | $676.08 | $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 $257.04 Typical High $2,691.53 | Professional | None | $1.26 | $257.04 | $2,691.53 |
Select Health Setting Facility Modifier None Typical Low $173.78 Median $758.58 Typical High $4,265.80 | Facility | None | $173.78 | $758.58 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $676.08 Median $676.08 Typical High $676.08 | Professional | None | $676.08 | $676.08 | $676.08 |
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 $169.82 Median $467.74 Typical High $1,348.96 | Professional | None | $169.82 | $467.74 | $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 $104.71 Median $181.97 Typical High $512.86 | Professional | 52 · Reduced service | $104.71 | $181.97 | $512.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $41.69 Median $72.44 Typical High $204.17 | Professional | 53 · Discontinued | $41.69 | $72.44 | $204.17 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $154.88 Median $275.42 Typical High $758.58 | Professional | 54 · Surgery only | $154.88 | $275.42 | $758.58 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $30.90 Median $54.95 Typical High $151.36 | Professional | 55 · Aftercare only | $30.90 | $54.95 | $151.36 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $20.89 Median $36.31 Typical High $102.33 | Professional | 56 · Pre-op care only | $20.89 | $36.31 | $102.33 |
Where Nevada sits
The same service costs 3.8 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 $5,124MT $1,344
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.