How much rates vary
Facilitymedian $7,762 · 10th to 90th $2,570 to $15,849Professionalmedian $3,467 · 10th to 90th $2,399 to $5,370
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 $3,162.28 Median $3,162.28 Typical High $3,467.37 | Professional | None | $3,162.28 | $3,162.28 | $3,467.37 |
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 $3,235.94 Median $3,715.35 Typical High $5,888.44 | Professional | None | $3,235.94 | $3,715.35 | $5,888.44 |
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 $2,398.83 Median $3,162.28 Typical High $5,623.41 | Professional | None | $2,398.83 | $3,162.28 | $5,623.41 |
Hometown Health Setting Professional Modifier None Typical Low $52.48 Median $2,754.23 Typical High $4,897.79 | Professional | None | $52.48 | $2,754.23 | $4,897.79 |
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 $4,265.80 | Professional | None | $38.90 | $38.90 | $4,265.80 |
Select Health Setting Facility Modifier None Typical Low $2,818.38 Median $2,818.38 Typical High $4,265.80 | Facility | None | $2,818.38 | $2,818.38 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $2,290.87 Median $2,818.38 Typical High $5,754.40 | Professional | None | $2,290.87 | $2,818.38 | $5,754.40 |
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 $2,754.23 Median $3,630.78 Typical High $5,754.40 | Professional | None | $2,754.23 | $3,630.78 | $5,754.40 |
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 $1,584.89 Median $1,584.89 Typical High $1,737.80 | Professional | 52 · Reduced service | $1,584.89 | $1,584.89 | $1,737.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $630.96 Median $630.96 Typical High $691.83 | Professional | 53 · Discontinued | $630.96 | $630.96 | $691.83 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $2,344.23 Median $2,344.23 Typical High $2,630.27 | Professional | 54 · Surgery only | $2,344.23 | $2,344.23 | $2,630.27 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $478.63 Median $478.63 Typical High $524.81 | Professional | 55 · Aftercare only | $478.63 | $478.63 | $524.81 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $316.23 Median $316.23 Typical High $346.74 | Professional | 56 · Pre-op care only | $316.23 | $316.23 | $346.74 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $2,187.76 Median $2,187.76 Typical High $2,454.71 | Professional | 78 · Unplanned return to OR | $2,187.76 | $2,187.76 | $2,454.71 |
Where Nevada sits
The same service costs 20.4 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· 38th of 51
$3,631
AK $13,183TX $646
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.