How much rates vary
Facilitymedian $7,413 · 10th to 90th $1,778 to $10,965Professionalmedian $603 · 10th to 90th $468 to $977
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 $588.84 Median $4,466.84 Typical High $8,128.31 | Facility | None | $588.84 | $4,466.84 | $8,128.31 |
Aetna Setting Professional Modifier None Typical Low $575.44 Median $588.84 Typical High $691.83 | Professional | None | $575.44 | $588.84 | $691.83 |
Anthem BCBS Setting Facility Modifier None Typical Low $4,897.79 Median $8,128.31 Typical High $11,220.18 | Facility | None | $4,897.79 | $8,128.31 | $11,220.18 |
Anthem BCBS Setting Professional Modifier None Typical Low $562.34 Median $676.08 Typical High $1,230.27 | Professional | None | $562.34 | $676.08 | $1,230.27 |
Cigna Setting Facility Modifier None Typical Low $691.83 Median $7,762.47 Typical High $11,220.18 | Facility | None | $691.83 | $7,762.47 | $11,220.18 |
Cigna Setting Professional Modifier None Typical Low $467.74 Median $467.74 Typical High $933.25 | Professional | None | $467.74 | $467.74 | $933.25 |
Hometown Health Setting Professional Modifier None Typical Low $5.37 Median $575.44 Typical High $851.14 | Professional | None | $5.37 | $575.44 | $851.14 |
Hometown Health Setting Facility Modifier None Typical Low $7,762.47 Median $7,762.47 Typical High $7,762.47 | Facility | None | $7,762.47 | $7,762.47 | $7,762.47 |
Hometown Health Setting Professional Modifier None Typical Low $4.57 Median $4.57 Typical High $758.58 | Professional | None | $4.57 | $4.57 | $758.58 |
Select Health Setting Facility Modifier None Typical Low $501.19 Median $501.19 Typical High $4,265.80 | Facility | None | $501.19 | $501.19 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $446.68 Median $446.68 Typical High $446.68 | Professional | None | $446.68 | $446.68 | $446.68 |
United Setting Facility Modifier None Typical Low $2,570.40 Median $5,128.61 Typical High $10,964.78 | Facility | None | $2,570.40 | $5,128.61 | $10,964.78 |
United Setting Professional Modifier None Typical Low $446.68 Median $602.56 Typical High $912.01 | Professional | None | $446.68 | $602.56 | $912.01 |
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 $288.40 Median $295.12 Typical High $295.12 | Professional | 52 · Reduced service | $288.40 | $295.12 | $295.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $114.82 Median $117.49 Typical High $117.49 | Professional | 53 · Discontinued | $114.82 | $117.49 | $117.49 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $436.52 Median $446.68 Typical High $446.68 | Professional | 54 · Surgery only | $436.52 | $446.68 | $446.68 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $87.10 Median $89.13 Typical High $89.13 | Professional | 55 · Aftercare only | $87.10 | $89.13 | $89.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $57.54 Median $58.88 Typical High $58.88 | Professional | 56 · Pre-op care only | $57.54 | $58.88 | $58.88 |
Where Nevada sits
The same service costs 9.8 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 $17,480MT $1,783
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.