How much rates vary
Facilitymedian $2,512 · 10th to 90th $1,122 to $5,495Professionalmedian $1,072 · 10th to 90th $759 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 $1,288.25 Median $2,570.40 Typical High $6,165.95 | Facility | None | $1,288.25 | $2,570.40 | $6,165.95 |
Aetna Setting Professional Modifier None Typical Low $1,000.00 Median $1,071.52 Typical High $1,584.89 | Professional | None | $1,000.00 | $1,071.52 | $1,584.89 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,754.23 Median $4,466.84 Typical High $5,754.40 | Facility | None | $2,754.23 | $4,466.84 | $5,754.40 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,023.29 Median $1,174.90 Typical High $1,584.89 | Professional | None | $1,023.29 | $1,174.90 | $1,584.89 |
Cigna Setting Facility Modifier None Typical Low $616.60 Median $1,905.46 Typical High $2,630.27 | Facility | None | $616.60 | $1,905.46 | $2,630.27 |
Cigna Setting Professional Modifier None Typical Low $676.08 Median $977.24 Typical High $1,513.56 | Professional | None | $676.08 | $977.24 | $1,513.56 |
Hometown Health Setting Professional Modifier None Typical Low $812.83 Median $1,023.29 Typical High $1,584.89 | Professional | None | $812.83 | $1,023.29 | $1,584.89 |
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 $10.00 Median $10.00 Typical High $1,348.96 | Professional | None | $10.00 | $10.00 | $1,348.96 |
Select Health Setting Facility Modifier None Typical Low $912.01 Median $912.01 Typical High $4,265.80 | Facility | None | $912.01 | $912.01 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $851.14 Median $1,148.15 Typical High $1,905.46 | Professional | None | $851.14 | $1,148.15 | $1,905.46 |
United Setting Facility Modifier None Typical Low $1,174.90 Median $1,698.24 Typical High $4,073.80 | Facility | None | $1,174.90 | $1,698.24 | $4,073.80 |
United Setting Professional Modifier None Typical Low $758.58 Median $977.24 Typical High $1,513.56 | Professional | None | $758.58 | $977.24 | $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 $537.03 Median $537.03 Typical High $645.65 | Professional | 52 · Reduced service | $537.03 | $537.03 | $645.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $213.80 Median $213.80 Typical High $257.04 | Professional | 53 · Discontinued | $213.80 | $213.80 | $257.04 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $812.83 Median $812.83 Typical High $954.99 | Professional | 54 · Surgery only | $812.83 | $812.83 | $954.99 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $162.18 Median $162.18 Typical High $190.55 | Professional | 55 · Aftercare only | $162.18 | $162.18 | $190.55 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $107.15 Median $107.15 Typical High $128.82 | Professional | 56 · Pre-op care only | $107.15 | $107.15 | $128.82 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $758.58 Median $758.58 Typical High $891.25 | Professional | 78 · Unplanned return to OR | $758.58 | $758.58 | $891.25 |
Where Nevada sits
The same service costs 3.4 times more in Alaska than in West Virginia. 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 $8,636WV $2,535
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.