How much rates vary
Facilitymedian $1,950 · 10th to 90th $676 to $4,467Professionalmedian $309 · 10th to 90th $195 to $537
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 $251.19 Median $2,238.72 Typical High $5,011.87 | Facility | None | $251.19 | $2,238.72 | $5,011.87 |
Aetna Setting Professional Modifier None Typical Low $204.17 Median $309.03 Typical High $457.09 | Professional | None | $204.17 | $309.03 | $457.09 |
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 $354.81 Typical High $588.84 | Professional | None | $194.98 | $354.81 | $588.84 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $1,047.13 Typical High $1,513.56 | Facility | None | $501.19 | $1,047.13 | $1,513.56 |
Cigna Setting Professional Modifier None Typical Low $165.96 Median $234.42 Typical High $478.63 | Professional | None | $165.96 | $234.42 | $478.63 |
Hometown Health Setting Professional Modifier None Typical Low $177.83 Median $295.12 Typical High $1,258.93 | Professional | None | $177.83 | $295.12 | $1,258.93 |
Hometown Health Setting Facility Modifier None Typical Low $1,047.13 Median $1,047.13 Typical High $1,047.13 | Facility | None | $1,047.13 | $1,047.13 | $1,047.13 |
Hometown Health Setting Professional Modifier None Typical Low $1.70 Median $263.03 Typical High $1,584.89 | Professional | None | $1.70 | $263.03 | $1,584.89 |
Select Health Setting Facility Modifier None Typical Low $177.83 Median $331.13 Typical High $4,265.80 | Facility | None | $177.83 | $331.13 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $295.12 Median $295.12 Typical High $295.12 | Professional | None | $295.12 | $295.12 | $295.12 |
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 $186.21 Median $323.59 Typical High $489.78 | Professional | None | $186.21 | $323.59 | $489.78 |
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 $102.33 Median $154.88 Typical High $229.09 | Professional | 52 · Reduced service | $102.33 | $154.88 | $229.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $40.74 Median $61.66 Typical High $91.20 | Professional | 53 · Discontinued | $40.74 | $61.66 | $91.20 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $151.36 Median $234.42 Typical High $338.84 | Professional | 54 · Surgery only | $151.36 | $234.42 | $338.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $30.20 Median $46.77 Typical High $67.61 | Professional | 55 · Aftercare only | $30.20 | $46.77 | $67.61 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $20.42 Median $30.90 Typical High $45.71 | Professional | 56 · Pre-op care only | $20.42 | $30.90 | $45.71 |
Where Nevada sits
The same service costs 7.9 times more in Oklahoma 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
OK $5,867MT $745
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.