How much rates vary
Facilitymedian $1,738 · 10th to 90th $537 to $4,467Professionalmedian $955 · 10th to 90th $741 to $1,479
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 $794.33 Median $2,238.72 Typical High $5,011.87 | Facility | None | $794.33 | $2,238.72 | $5,011.87 |
Aetna Setting Professional Modifier None Typical Low $758.58 Median $912.01 Typical High $1,288.25 | Professional | None | $758.58 | $912.01 | $1,288.25 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,570.40 Median $3,801.89 Typical High $5,128.61 | Facility | None | $2,570.40 | $3,801.89 | $5,128.61 |
Anthem BCBS Setting Professional Modifier None Typical Low $812.83 Median $1,122.02 Typical High $1,513.56 | Professional | None | $812.83 | $1,122.02 | $1,513.56 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $1,174.90 Typical High $1,698.24 | Facility | None | $501.19 | $1,174.90 | $1,698.24 |
Cigna Setting Professional Modifier None Typical Low $724.44 Median $851.14 Typical High $1,288.25 | Professional | None | $724.44 | $851.14 | $1,288.25 |
Hometown Health Setting Professional Modifier None Typical Low $794.33 Median $1,096.48 Typical High $1,513.56 | Professional | None | $794.33 | $1,096.48 | $1,513.56 |
Hometown Health Setting Facility Modifier None Typical Low $1,174.90 Median $1,174.90 Typical High $1,174.90 | Facility | None | $1,174.90 | $1,174.90 | $1,174.90 |
Hometown Health Setting Professional Modifier None Typical Low $8.32 Median $1,071.52 Typical High $1,778.28 | Professional | None | $8.32 | $1,071.52 | $1,778.28 |
Select Health Setting Facility Modifier None Typical Low $724.44 Median $1,000.00 Typical High $4,265.80 | Facility | None | $724.44 | $1,000.00 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $758.58 Median $758.58 Typical High $758.58 | Professional | None | $758.58 | $758.58 | $758.58 |
United Setting Facility Modifier None Typical Low $467.74 Median $724.44 Typical High $2,884.03 | Facility | None | $467.74 | $724.44 | $2,884.03 |
United Setting Professional Modifier None Typical Low $707.95 Median $933.25 Typical High $1,479.11 | Professional | None | $707.95 | $933.25 | $1,479.11 |
7 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 $380.19 Median $426.58 Typical High $478.63 | Professional | 52 · Reduced service | $380.19 | $426.58 | $478.63 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $154.88 Median $169.82 Typical High $190.55 | Professional | 53 · Discontinued | $154.88 | $169.82 | $190.55 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $575.44 Median $645.65 Typical High $707.95 | Professional | 54 · Surgery only | $575.44 | $645.65 | $707.95 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $114.82 Median $128.82 Typical High $141.25 | Professional | 55 · Aftercare only | $114.82 | $128.82 | $141.25 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $75.86 Median $85.11 Typical High $95.50 | Professional | 56 · Pre-op care only | $75.86 | $85.11 | $95.50 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $537.03 Median $602.56 Typical High $660.69 | Professional | 78 · Unplanned return to OR | $537.03 | $602.56 | $660.69 |
Ambetter Setting Professional Modifier 79 · Unrelated procedure after surgery Typical Low $776.25 Median $776.25 Typical High $776.25 | Professional | 79 · Unrelated procedure after surgery | $776.25 | $776.25 | $776.25 |
Where Nevada sits
The same service costs 4.4 times more in Alaska than in Texas. 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.
Nevada· 35th of 51
$977
AK $3,311TX $759
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.