How much rates vary
Facilitymedian $8,511 · 10th to 90th $1,445 to $36,308Professionalmedian $372 · 10th to 90th $138 to $2,570
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 $758.58 Median $2,089.30 Typical High $10,715.19 | Facility | None | $758.58 | $2,089.30 | $10,715.19 |
Aetna Setting Professional Modifier None Typical Low $371.54 Median $1,698.24 Typical High $2,511.89 | Professional | None | $371.54 | $1,698.24 | $2,511.89 |
Anthem BCBS Setting Facility Modifier None Typical Low $10,964.78 Median $22,908.68 Typical High $45,708.82 | Facility | None | $10,964.78 | $22,908.68 | $45,708.82 |
Anthem BCBS Setting Professional Modifier None Typical Low $323.59 Median $426.58 Typical High $616.60 | Professional | None | $323.59 | $426.58 | $616.60 |
Cigna Setting Facility Modifier None Typical Low $398.11 Median $9,120.11 Typical High $13,182.57 | Facility | None | $398.11 | $9,120.11 | $13,182.57 |
Cigna Setting Professional Modifier None Typical Low $138.04 Median $194.98 Typical High $2,630.27 | Professional | None | $138.04 | $194.98 | $2,630.27 |
Hometown Health Setting Professional Modifier None Typical Low $114.82 Median $257.04 Typical High $8,317.64 | Professional | None | $114.82 | $257.04 | $8,317.64 |
Hometown Health Setting Facility Modifier None Typical Low $9,120.11 Median $9,120.11 Typical High $9,120.11 | Facility | None | $9,120.11 | $9,120.11 | $9,120.11 |
Hometown Health Setting Professional Modifier None Typical Low $2.75 Median $660.69 Typical High $13,489.63 | Professional | None | $2.75 | $660.69 | $13,489.63 |
Select Health Setting Facility Modifier None Typical Low $436.52 Median $4,265.80 Typical High $4,786.30 | Facility | None | $436.52 | $4,265.80 | $4,786.30 |
Select Health Setting Professional Modifier None Typical Low $346.74 Median $660.69 Typical High $4,570.88 | Professional | None | $346.74 | $660.69 | $4,570.88 |
United Setting Facility Modifier None Typical Low $1,905.46 Median $3,090.30 Typical High $11,481.54 | Facility | None | $1,905.46 | $3,090.30 | $11,481.54 |
United Setting Professional Modifier None Typical Low $131.83 Median $245.47 Typical High $3,630.78 | Professional | None | $131.83 | $245.47 | $3,630.78 |
6 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 $181.97 Median $194.98 Typical High $1,258.93 | Professional | 52 · Reduced service | $181.97 | $194.98 | $1,258.93 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $74.13 Median $77.62 Typical High $501.19 | Professional | 53 · Discontinued | $74.13 | $77.62 | $501.19 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $275.42 Median $288.40 Typical High $1,905.46 | Professional | 54 · Surgery only | $275.42 | $288.40 | $1,905.46 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $54.95 Median $57.54 Typical High $380.19 | Professional | 55 · Aftercare only | $54.95 | $57.54 | $380.19 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $37.15 Median $38.90 Typical High $251.19 | Professional | 56 · Pre-op care only | $37.15 | $38.90 | $251.19 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $257.04 Median $269.15 Typical High $1,778.28 | Professional | 78 · Unplanned return to OR | $257.04 | $269.15 | $1,778.28 |
Where Nevada sits
The same service costs 18.4 times more in Alabama 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
AL $30,876MT $1,679
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.