How much rates vary
Facilitymedian $3,981 · 10th to 90th $1,413 to $6,166Professionalmedian $1,479 · 10th to 90th $1,175 to $2,344
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 $1,479.11 Median $4,897.79 Typical High $8,128.31 | Facility | None | $1,479.11 | $4,897.79 | $8,128.31 |
Aetna Setting Professional Modifier None Typical Low $1,412.54 Median $1,412.54 Typical High $2,187.76 | Professional | None | $1,412.54 | $1,412.54 | $2,187.76 |
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 $1,412.54 Median $1,698.24 Typical High $2,951.21 | Professional | None | $1,412.54 | $1,698.24 | $2,951.21 |
Cigna Setting Facility Modifier None Typical Low $1,096.48 Median $3,311.31 Typical High $4,570.88 | Facility | None | $1,096.48 | $3,311.31 | $4,570.88 |
Cigna Setting Professional Modifier None Typical Low $1,174.90 Median $1,174.90 Typical High $2,238.72 | Professional | None | $1,174.90 | $1,174.90 | $2,238.72 |
Hometown Health Setting Professional Modifier None Typical Low $17.78 Median $1,479.11 Typical High $2,187.76 | Professional | None | $17.78 | $1,479.11 | $2,187.76 |
Hometown Health Setting Facility Modifier None Typical Low $3,162.28 Median $3,162.28 Typical High $3,162.28 | Facility | None | $3,162.28 | $3,162.28 | $3,162.28 |
Hometown Health Setting Professional Modifier None Typical Low $15.14 Median $15.14 Typical High $1,905.46 | Professional | None | $15.14 | $15.14 | $1,905.46 |
Select Health Setting Facility Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $4,265.80 | Facility | None | $1,288.25 | $1,288.25 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $1,148.15 Median $1,148.15 Typical High $1,148.15 | Professional | None | $1,148.15 | $1,148.15 | $1,148.15 |
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 $1,230.27 Median $1,479.11 Typical High $2,238.72 | Professional | None | $1,230.27 | $1,479.11 | $2,238.72 |
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 $707.95 Median $707.95 Typical High $741.31 | Professional | 52 · Reduced service | $707.95 | $707.95 | $741.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $281.84 Median $281.84 Typical High $295.12 | Professional | 53 · Discontinued | $281.84 | $281.84 | $295.12 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,071.52 Median $1,071.52 Typical High $1,096.48 | Professional | 54 · Surgery only | $1,071.52 | $1,071.52 | $1,096.48 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $213.80 Median $213.80 Typical High $218.78 | Professional | 55 · Aftercare only | $213.80 | $213.80 | $218.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $141.25 Median $141.25 Typical High $147.91 | Professional | 56 · Pre-op care only | $141.25 | $141.25 | $147.91 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,000.00 Median $1,000.00 Typical High $1,023.29 | Professional | 78 · Unplanned return to OR | $1,000.00 | $1,000.00 | $1,023.29 |
Where Nevada sits
The same service costs 3.1 times more in Alaska than in Delaware. 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 $12,999DE $4,240
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.