How much rates vary
Facilitymedian $4,365 · 10th to 90th $1,023 to $6,166Professionalmedian $1,023 · 10th to 90th $692 to $1,622
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 $1,023.29 Median $2,238.72 Typical High $5,128.61 | Facility | None | $1,023.29 | $2,238.72 | $5,128.61 |
Aetna Setting Professional Modifier None Typical Low $1,000.00 Median $1,023.29 Typical High $1,023.29 | Professional | None | $1,000.00 | $1,023.29 | $1,023.29 |
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 $1,000.00 Median $1,148.15 Typical High $1,819.70 | Professional | None | $1,000.00 | $1,148.15 | $1,819.70 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $4,365.16 Typical High $6,309.57 | Facility | None | $501.19 | $4,365.16 | $6,309.57 |
Cigna Setting Professional Modifier None Typical Low $645.65 Median $870.96 Typical High $1,513.56 | Professional | None | $645.65 | $870.96 | $1,513.56 |
Hometown Health Setting Professional Modifier None Typical Low $6.46 Median $831.76 Typical High $1,479.11 | Professional | None | $6.46 | $831.76 | $1,479.11 |
Hometown Health Setting Facility Modifier None Typical Low $4,365.16 Median $4,365.16 Typical High $4,365.16 | Facility | None | $4,365.16 | $4,365.16 | $4,365.16 |
Hometown Health Setting Professional Modifier None Typical Low $4.79 Median $4.79 Typical High $1,318.26 | Professional | None | $4.79 | $4.79 | $1,318.26 |
Select Health Setting Facility Modifier None Typical Low $870.96 Median $870.96 Typical High $4,265.80 | Facility | None | $870.96 | $870.96 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $691.83 Median $870.96 Typical High $1,778.28 | Professional | None | $691.83 | $870.96 | $1,778.28 |
United Setting Facility Modifier None Typical Low $1,621.81 Median $2,398.83 Typical High $6,165.95 | Facility | None | $1,621.81 | $2,398.83 | $6,165.95 |
United Setting Professional Modifier None Typical Low $575.44 Median $1,000.00 Typical High $1,513.56 | Professional | None | $575.44 | $1,000.00 | $1,513.56 |
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 $501.19 Median $512.86 Typical High $512.86 | Professional | 52 · Reduced service | $501.19 | $512.86 | $512.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $199.53 Median $204.17 Typical High $204.17 | Professional | 53 · Discontinued | $199.53 | $204.17 | $204.17 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $741.31 Median $758.58 Typical High $758.58 | Professional | 54 · Surgery only | $741.31 | $758.58 | $758.58 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $147.91 Median $151.36 Typical High $151.36 | Professional | 55 · Aftercare only | $147.91 | $151.36 | $151.36 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $100.00 Median $102.33 Typical High $102.33 | Professional | 56 · Pre-op care only | $100.00 | $102.33 | $102.33 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $691.83 Median $707.95 Typical High $707.95 | Professional | 78 · Unplanned return to OR | $691.83 | $707.95 | $707.95 |
Where Nevada sits
The same service costs 4.4 times more in Alaska than in Hawaii. 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 $10,992HI $2,489
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.