How much rates vary
Facilitymedian $7,762 · 10th to 90th $2,399 to $15,849Professionalmedian $2,884 · 10th to 90th $1,905 to $4,467
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 $3,981.07 Typical High $10,715.19 | Facility | None | $2,238.72 | $3,981.07 | $10,715.19 |
Aetna Setting Professional Modifier None Typical Low $2,630.27 Median $2,630.27 Typical High $2,951.21 | Professional | None | $2,630.27 | $2,630.27 | $2,951.21 |
Anthem BCBS Setting Facility Modifier None Typical Low $4,570.88 Median $7,762.47 Typical High $10,715.19 | Facility | None | $4,570.88 | $7,762.47 | $10,715.19 |
Anthem BCBS Setting Professional Modifier None Typical Low $2,691.53 Median $3,090.30 Typical High $5,011.87 | Professional | None | $2,691.53 | $3,090.30 | $5,011.87 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $15,135.61 Typical High $20,892.96 | Facility | None | $741.31 | $15,135.61 | $20,892.96 |
Cigna Setting Professional Modifier None Typical Low $1,905.46 Median $2,398.83 Typical High $4,677.35 | Professional | None | $1,905.46 | $2,398.83 | $4,677.35 |
Hometown Health Setting Professional Modifier None Typical Low $52.48 Median $2,187.76 Typical High $3,890.45 | Professional | None | $52.48 | $2,187.76 | $3,890.45 |
Hometown Health Setting Facility Modifier None Typical Low $14,454.40 Median $14,454.40 Typical High $14,454.40 | Facility | None | $14,454.40 | $14,454.40 | $14,454.40 |
Hometown Health Setting Professional Modifier None Typical Low $38.90 Median $38.90 Typical High $3,630.78 | Professional | None | $38.90 | $38.90 | $3,630.78 |
Select Health Setting Facility Modifier None Typical Low $2,398.83 Median $2,398.83 Typical High $4,265.80 | Facility | None | $2,398.83 | $2,398.83 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $1,905.46 Median $2,398.83 Typical High $4,897.79 | Professional | None | $1,905.46 | $2,398.83 | $4,897.79 |
United Setting Facility Modifier None Typical Low $2,570.40 Median $5,128.61 Typical High $10,964.78 | Facility | None | $2,570.40 | $5,128.61 | $10,964.78 |
United Setting Professional Modifier None Typical Low $2,137.96 Median $2,884.03 Typical High $4,265.80 | Professional | None | $2,137.96 | $2,884.03 | $4,265.80 |
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 $1,318.26 Median $1,318.26 Typical High $1,445.44 | Professional | 52 · Reduced service | $1,318.26 | $1,318.26 | $1,445.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $537.03 Median $537.03 Typical High $588.84 | Professional | 53 · Discontinued | $537.03 | $537.03 | $588.84 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,995.26 Median $1,995.26 Typical High $2,187.76 | Professional | 54 · Surgery only | $1,995.26 | $1,995.26 | $2,187.76 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $398.11 Median $398.11 Typical High $436.52 | Professional | 55 · Aftercare only | $398.11 | $398.11 | $436.52 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $263.03 Median $263.03 Typical High $295.12 | Professional | 56 · Pre-op care only | $263.03 | $263.03 | $295.12 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,862.09 Median $1,862.09 Typical High $2,041.74 | Professional | 78 · Unplanned return to OR | $1,862.09 | $1,862.09 | $2,041.74 |
Where Nevada sits
The same service costs 20.0 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· 37th of 51
$2,951
AK $11,220TX $562
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.