How much rates vary
Facilitymedian $4,467 · 10th to 90th $1,259 to $6,166Professionalmedian $741 · 10th to 90th $589 to $1,023
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 $4,466.84 Typical High $8,128.31 | Facility | None | $831.76 | $4,466.84 | $8,128.31 |
Aetna Setting Professional Modifier None Typical Low $630.96 Median $691.83 Typical High $831.76 | Professional | None | $630.96 | $691.83 | $831.76 |
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 $660.69 Median $758.58 Typical High $1,023.29 | Professional | None | $660.69 | $758.58 | $1,023.29 |
Cigna Setting Facility Modifier None Typical Low $691.83 Median $4,365.16 Typical High $6,025.60 | Facility | None | $691.83 | $4,365.16 | $6,025.60 |
Cigna Setting Professional Modifier None Typical Low $562.34 Median $691.83 Typical High $1,023.29 | Professional | None | $562.34 | $691.83 | $1,023.29 |
Hometown Health Setting Professional Modifier None Typical Low $575.44 Median $812.83 Typical High $1,096.48 | Professional | None | $575.44 | $812.83 | $1,096.48 |
Hometown Health Setting Facility Modifier None Typical Low $4,168.69 Median $4,168.69 Typical High $4,168.69 | Facility | None | $4,168.69 | $4,168.69 | $4,168.69 |
Hometown Health Setting Professional Modifier None Typical Low $870.96 Median $870.96 Typical High $870.96 | Professional | None | $870.96 | $870.96 | $870.96 |
Select Health Setting Facility Modifier None Typical Low $575.44 Median $575.44 Typical High $4,265.80 | Facility | None | $575.44 | $575.44 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $537.03 Median $758.58 Typical High $1,071.52 | Professional | None | $537.03 | $758.58 | $1,071.52 |
United Setting Facility Modifier None Typical Low $1,621.81 Median $2,398.83 Typical High $6,918.31 | Facility | None | $1,621.81 | $2,398.83 | $6,918.31 |
United Setting Professional Modifier None Typical Low $549.54 Median $741.31 Typical High $1,071.52 | Professional | None | $549.54 | $741.31 | $1,071.52 |
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 $346.74 Median $346.74 Typical High $416.87 | Professional | 52 · Reduced service | $346.74 | $346.74 | $416.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $138.04 Median $138.04 Typical High $165.96 | Professional | 53 · Discontinued | $138.04 | $138.04 | $165.96 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $524.81 Median $524.81 Typical High $616.60 | Professional | 54 · Surgery only | $524.81 | $524.81 | $616.60 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $104.71 Median $104.71 Typical High $123.03 | Professional | 55 · Aftercare only | $104.71 | $104.71 | $123.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $69.18 Median $69.18 Typical High $83.18 | Professional | 56 · Pre-op care only | $69.18 | $69.18 | $83.18 |
Where Nevada sits
The same service costs 5.9 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 $12,304MT $2,095
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.