How much rates vary
Facilitymedian $3,311 · 10th to 90th $1,148 to $9,772Professionalmedian $2,291 · 10th to 90th $1,862 to $3,548
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 $1,995.26 Median $3,981.07 Typical High $10,715.19 | Facility | None | $1,995.26 | $3,981.07 | $10,715.19 |
Aetna Setting Professional Modifier None Typical Low $1,995.26 Median $1,995.26 Typical High $2,187.76 | Professional | None | $1,995.26 | $1,995.26 | $2,187.76 |
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 $2,041.74 Median $2,344.23 Typical High $3,715.35 | Professional | None | $2,041.74 | $2,344.23 | $3,715.35 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $1,258.93 Typical High $1,698.24 | Facility | None | $741.31 | $1,258.93 | $1,698.24 |
Cigna Setting Professional Modifier None Typical Low $1,862.09 Median $2,137.96 Typical High $3,630.78 | Professional | None | $1,862.09 | $2,137.96 | $3,630.78 |
Hometown Health Setting Professional Modifier None Typical Low $25.70 Median $1,698.24 Typical High $3,090.30 | Professional | None | $25.70 | $1,698.24 | $3,090.30 |
Hometown Health Setting Facility Modifier None Typical Low $1,148.15 Median $1,148.15 Typical High $1,148.15 | Facility | None | $1,148.15 | $1,148.15 | $1,148.15 |
Hometown Health Setting Professional Modifier None Typical Low $19.05 Median $19.05 Typical High $2,691.53 | Professional | None | $19.05 | $19.05 | $2,691.53 |
Select Health Setting Facility Modifier None Typical Low $1,819.70 Median $1,819.70 Typical High $4,265.80 | Facility | None | $1,819.70 | $1,819.70 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $1,445.44 Median $1,819.70 Typical High $3,715.35 | Professional | None | $1,445.44 | $1,819.70 | $3,715.35 |
United Setting Facility Modifier None Typical Low $1,905.46 Median $3,019.95 Typical High $6,456.54 | Facility | None | $1,905.46 | $3,019.95 | $6,456.54 |
United Setting Professional Modifier None Typical Low $1,949.84 Median $2,344.23 Typical High $3,801.89 | Professional | None | $1,949.84 | $2,344.23 | $3,801.89 |
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 $1,000.00 Median $1,000.00 Typical High $1,096.48 | Professional | 52 · Reduced service | $1,000.00 | $1,000.00 | $1,096.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $398.11 Median $398.11 Typical High $436.52 | Professional | 53 · Discontinued | $398.11 | $398.11 | $436.52 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,479.11 Median $1,479.11 Typical High $1,659.59 | Professional | 54 · Surgery only | $1,479.11 | $1,479.11 | $1,659.59 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $302.00 Median $302.00 Typical High $331.13 | Professional | 55 · Aftercare only | $302.00 | $302.00 | $331.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $199.53 Median $199.53 Typical High $218.78 | Professional | 56 · Pre-op care only | $199.53 | $199.53 | $218.78 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,380.38 Median $1,380.38 Typical High $1,548.82 | Professional | 78 · Unplanned return to OR | $1,380.38 | $1,380.38 | $1,548.82 |
Where Nevada sits
The same service costs 19.5 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
$2,291
AK $8,318TX $427
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.