How much rates vary
Facilitymedian $2,951 · 10th to 90th $912 to $5,754Professionalmedian $457 · 10th to 90th $372 to $776
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 $489.78 Median $2,570.40 Typical High $6,165.95 | Facility | None | $489.78 | $2,570.40 | $6,165.95 |
Aetna Setting Professional Modifier None Typical Low $398.11 Median $398.11 Typical High $724.44 | Professional | None | $398.11 | $398.11 | $724.44 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,951.21 Median $4,677.35 Typical High $6,165.95 | Facility | None | $2,951.21 | $4,677.35 | $6,165.95 |
Anthem BCBS Setting Professional Modifier None Typical Low $380.19 Median $457.09 Typical High $851.14 | Professional | None | $380.19 | $457.09 | $851.14 |
Cigna Setting Facility Modifier None Typical Low $616.60 Median $2,884.03 Typical High $4,073.80 | Facility | None | $616.60 | $2,884.03 | $4,073.80 |
Cigna Setting Professional Modifier None Typical Low $416.87 Median $416.87 Typical High $741.31 | Professional | None | $416.87 | $416.87 | $741.31 |
Hometown Health Setting Professional Modifier None Typical Low $8.91 Median $389.05 Typical High $588.84 | Professional | None | $8.91 | $389.05 | $588.84 |
Hometown Health Setting Facility Modifier None Typical Low $2,818.38 Median $2,818.38 Typical High $2,818.38 | Facility | None | $2,818.38 | $2,818.38 | $2,818.38 |
Hometown Health Setting Professional Modifier None Typical Low $7.59 Median $7.59 Typical High $512.86 | Professional | None | $7.59 | $7.59 | $512.86 |
Select Health Setting Facility Modifier None Typical Low $338.84 Median $338.84 Typical High $4,265.80 | Facility | None | $338.84 | $338.84 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $302.00 Median $302.00 Typical High $302.00 | Professional | None | $302.00 | $302.00 | $302.00 |
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 $363.08 Median $512.86 Typical High $1,071.52 | Professional | None | $363.08 | $512.86 | $1,071.52 |
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 $199.53 Median $199.53 Typical High $245.47 | Professional | 52 · Reduced service | $199.53 | $199.53 | $245.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $79.43 Median $79.43 Typical High $97.72 | Professional | 53 · Discontinued | $79.43 | $79.43 | $97.72 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $295.12 Median $295.12 Typical High $371.54 | Professional | 54 · Surgery only | $295.12 | $295.12 | $371.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $60.26 Median $60.26 Typical High $74.13 | Professional | 55 · Aftercare only | $60.26 | $60.26 | $74.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $39.81 Median $39.81 Typical High $48.98 | Professional | 56 · Pre-op care only | $39.81 | $39.81 | $48.98 |
Where Nevada sits
The same service costs 6.4 times more in Alaska 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
AK $7,574MT $1,191
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.