How much rates vary
Facilitymedian $9,120 · 10th to 90th $4,365 to $16,596Professionalmedian $1,259 · 10th to 90th $1,000 to $1,995
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 $2,238.72 Median $6,309.57 Typical High $10,964.78 | Facility | None | $2,238.72 | $6,309.57 | $10,964.78 |
Aetna Setting Professional Modifier None Typical Low $1,096.48 Median $1,258.93 Typical High $5,370.32 | Professional | None | $1,096.48 | $1,258.93 | $5,370.32 |
Anthem BCBS Setting Facility Modifier None Typical Low $5,495.41 Median $9,772.37 Typical High $12,302.69 | Facility | None | $5,495.41 | $9,772.37 | $12,302.69 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,047.13 Median $1,258.93 Typical High $2,570.40 | Professional | None | $1,047.13 | $1,258.93 | $2,570.40 |
Cigna Setting Facility Modifier None Typical Low $8,317.64 Median $9,120.11 Typical High $19,498.45 | Facility | None | $8,317.64 | $9,120.11 | $19,498.45 |
Cigna Setting Professional Modifier None Typical Low $1,000.00 Median $1,071.52 Typical High $1,737.80 | Professional | None | $1,000.00 | $1,071.52 | $1,737.80 |
Hometown Health Setting Professional Modifier None Typical Low $6.31 Median $1,174.90 Typical High $1,548.82 | Professional | None | $6.31 | $1,174.90 | $1,548.82 |
Hometown Health Setting Professional Modifier None Typical Low $6.31 Median $6.31 Typical High $1,348.96 | Professional | None | $6.31 | $6.31 | $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 |
United Setting Facility Modifier None Typical Low $3,388.44 Median $8,912.51 Typical High $21,877.62 | Facility | None | $3,388.44 | $8,912.51 | $21,877.62 |
United Setting Professional Modifier None Typical Low $1,000.00 Median $1,318.26 Typical High $1,862.09 | Professional | None | $1,000.00 | $1,318.26 | $1,862.09 |
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 $549.54 Median $549.54 Typical High $630.96 | Professional | 52 · Reduced service | $549.54 | $549.54 | $630.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $223.87 Median $223.87 Typical High $251.19 | Professional | 53 · Discontinued | $223.87 | $223.87 | $251.19 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $831.76 Median $831.76 Typical High $954.99 | Professional | 54 · Surgery only | $831.76 | $831.76 | $954.99 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $165.96 Median $165.96 Typical High $190.55 | Professional | 55 · Aftercare only | $165.96 | $165.96 | $190.55 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $109.65 Median $109.65 Typical High $125.89 | Professional | 56 · Pre-op care only | $109.65 | $109.65 | $125.89 |
Where Nevada sits
The same service costs 8.1 times more in Indiana than in Kentucky. 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
IN $23,026KY $2,834
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.