How much rates vary
Facilitymedian $7,762 · 10th to 90th $2,570 to $15,849Professionalmedian $4,074 · 10th to 90th $3,388 to $6,310
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 $4,168.69 Typical High $10,715.19 | Facility | None | $2,238.72 | $4,168.69 | $10,715.19 |
Aetna Setting Professional Modifier None Typical Low $3,801.89 Median $3,801.89 Typical High $4,168.69 | Professional | None | $3,801.89 | $3,801.89 | $4,168.69 |
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 $3,890.45 Median $4,466.84 Typical High $7,244.36 | Professional | None | $3,890.45 | $4,466.84 | $7,244.36 |
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 $3,388.44 Median $3,548.13 Typical High $6,760.83 | Professional | None | $3,388.44 | $3,548.13 | $6,760.83 |
Hometown Health Setting Professional Modifier None Typical Low $47.86 Median $3,235.94 Typical High $5,754.40 | Professional | None | $47.86 | $3,235.94 | $5,754.40 |
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 $36.31 Median $36.31 Typical High $5,128.61 | Professional | None | $36.31 | $36.31 | $5,128.61 |
Select Health Setting Facility Modifier None Typical Low $3,388.44 Median $3,388.44 Typical High $4,265.80 | Facility | None | $3,388.44 | $3,388.44 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $2,754.23 Median $3,388.44 Typical High $6,918.31 | Professional | None | $2,754.23 | $3,388.44 | $6,918.31 |
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 $3,388.44 Median $4,073.80 Typical High $6,309.57 | Professional | None | $3,388.44 | $4,073.80 | $6,309.57 |
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 $1,905.46 Median $1,905.46 Typical High $2,089.30 | Professional | 52 · Reduced service | $1,905.46 | $1,905.46 | $2,089.30 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $758.58 Median $758.58 Typical High $831.76 | Professional | 53 · Discontinued | $758.58 | $758.58 | $831.76 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $2,884.03 Median $2,884.03 Typical High $3,162.28 | Professional | 54 · Surgery only | $2,884.03 | $2,884.03 | $3,162.28 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $575.44 Median $575.44 Typical High $630.96 | Professional | 55 · Aftercare only | $575.44 | $575.44 | $630.96 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $380.19 Median $380.19 Typical High $416.87 | Professional | 56 · Pre-op care only | $380.19 | $380.19 | $416.87 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $2,691.53 Median $2,691.53 Typical High $2,951.21 | Professional | 78 · Unplanned return to OR | $2,691.53 | $2,691.53 | $2,951.21 |
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
$4,266
AK $15,849TX $776
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.