How much rates vary
Facilitymedian $2,042 · 10th to 90th $617 to $4,677Professionalmedian $2,692 · 10th to 90th $2,042 to $3,981
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 $3,162.28 Typical High $7,244.36 | Facility | None | $2,238.72 | $3,162.28 | $7,244.36 |
Aetna Setting Professional Modifier None Typical Low $2,398.83 Median $2,511.89 Typical High $3,981.07 | Professional | None | $2,398.83 | $2,511.89 | $3,981.07 |
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 $2,630.27 Median $3,235.94 Typical High $4,786.30 | Professional | None | $2,630.27 | $3,235.94 | $4,786.30 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $1,230.27 Typical High $1,698.24 | Facility | None | $741.31 | $1,230.27 | $1,698.24 |
Cigna Setting Professional Modifier None Typical Low $2,041.74 Median $2,344.23 Typical High $3,715.35 | Professional | None | $2,041.74 | $2,344.23 | $3,715.35 |
Hometown Health Setting Professional Modifier None Typical Low $24.55 Median $2,818.38 Typical High $3,630.78 | Professional | None | $24.55 | $2,818.38 | $3,630.78 |
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 $20.89 Median $20.89 Typical High $3,467.37 | Professional | None | $20.89 | $20.89 | $3,467.37 |
Select Health Setting Facility Modifier None Typical Low $2,344.23 Median $2,344.23 Typical High $4,265.80 | Facility | None | $2,344.23 | $2,344.23 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $2,454.71 Median $2,454.71 Typical High $2,454.71 | Professional | None | $2,454.71 | $2,454.71 | $2,454.71 |
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 $1,737.80 Median $2,630.27 Typical High $3,981.07 | Professional | None | $1,737.80 | $2,630.27 | $3,981.07 |
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 $1,202.26 Median $1,258.93 Typical High $1,318.26 | Professional | 52 · Reduced service | $1,202.26 | $1,258.93 | $1,318.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $478.63 Median $501.19 Typical High $524.81 | Professional | 53 · Discontinued | $478.63 | $501.19 | $524.81 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,778.28 Median $1,905.46 Typical High $1,949.84 | Professional | 54 · Surgery only | $1,778.28 | $1,905.46 | $1,949.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $354.81 Median $380.19 Typical High $398.11 | Professional | 55 · Aftercare only | $354.81 | $380.19 | $398.11 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $239.88 Median $251.19 Typical High $263.03 | Professional | 56 · Pre-op care only | $239.88 | $251.19 | $263.03 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,659.59 Median $1,778.28 Typical High $1,819.70 | Professional | 78 · Unplanned return to OR | $1,659.59 | $1,778.28 | $1,819.70 |
Where Nevada sits
The same service costs 15.8 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· 33rd of 51
$2,630
AK $8,128TX $513
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.