How much rates vary
Facilitymedian $2,512 · 10th to 90th $955 to $5,012Professionalmedian $955 · 10th to 90th $794 to $1,549
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 $831.76 Median $2,570.40 Typical High $6,165.95 | Facility | None | $831.76 | $2,570.40 | $6,165.95 |
Aetna Setting Professional Modifier None Typical Low $794.33 Median $831.76 Typical High $1,148.15 | Professional | None | $794.33 | $831.76 | $1,148.15 |
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 $891.25 Median $1,071.52 Typical High $1,995.26 | Professional | None | $891.25 | $1,071.52 | $1,995.26 |
Cigna Setting Facility Modifier None Typical Low $691.83 Median $1,905.46 Typical High $2,630.27 | Facility | None | $691.83 | $1,905.46 | $2,630.27 |
Cigna Setting Professional Modifier None Typical Low $794.33 Median $794.33 Typical High $1,513.56 | Professional | None | $794.33 | $794.33 | $1,513.56 |
Hometown Health Setting Professional Modifier None Typical Low $10.23 Median $954.99 Typical High $1,380.38 | Professional | None | $10.23 | $954.99 | $1,380.38 |
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 $8.71 Median $8.71 Typical High $1,202.26 | Professional | None | $8.71 | $8.71 | $1,202.26 |
Select Health Setting Facility Modifier None Typical Low $794.33 Median $794.33 Typical High $4,265.80 | Facility | None | $794.33 | $794.33 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $707.95 Median $707.95 Typical High $707.95 | Professional | None | $707.95 | $707.95 | $707.95 |
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 $794.33 Median $977.24 Typical High $1,445.44 | Professional | None | $794.33 | $977.24 | $1,445.44 |
2 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 $398.11 Median $416.87 Typical High $416.87 | Professional | 52 · Reduced service | $398.11 | $416.87 | $416.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $158.49 Median $165.96 Typical High $165.96 | Professional | 53 · Discontinued | $158.49 | $165.96 | $165.96 |
Where Nevada sits
The same service costs 3.4 times more in Alaska than in Kentucky. 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 $7,351KY $2,168
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.