How much rates vary
Facilitymedian $4,898 · 10th to 90th $2,138 to $9,772Professionalmedian $2,754 · 10th to 90th $2,239 to $4,169
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 $2,570.40 Median $2,570.40 Typical High $2,818.38 | Professional | None | $2,570.40 | $2,570.40 | $2,818.38 |
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 $2,570.40 Median $3,019.95 Typical High $4,786.30 | Professional | None | $2,570.40 | $3,019.95 | $4,786.30 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $5,128.61 Typical High $7,079.46 | Facility | None | $741.31 | $5,128.61 | $7,079.46 |
Cigna Setting Professional Modifier None Typical Low $2,238.72 Median $2,238.72 Typical High $4,168.69 | Professional | None | $2,238.72 | $2,238.72 | $4,168.69 |
Hometown Health Setting Professional Modifier None Typical Low $48.98 Median $2,290.87 Typical High $3,981.07 | Professional | None | $48.98 | $2,290.87 | $3,981.07 |
Hometown Health Setting Facility Modifier None Typical Low $4,897.79 Median $4,897.79 Typical High $4,897.79 | Facility | None | $4,897.79 | $4,897.79 | $4,897.79 |
Hometown Health Setting Professional Modifier None Typical Low $36.31 Median $36.31 Typical High $3,467.37 | Professional | None | $36.31 | $36.31 | $3,467.37 |
Select Health Setting Facility Modifier None Typical Low $2,290.87 Median $2,290.87 Typical High $4,265.80 | Facility | None | $2,290.87 | $2,290.87 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $1,862.09 Median $2,290.87 Typical High $4,677.35 | Professional | None | $1,862.09 | $2,290.87 | $4,677.35 |
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 $2,290.87 Median $2,754.23 Typical High $4,073.80 | Professional | None | $2,290.87 | $2,754.23 | $4,073.80 |
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 $1,288.25 Median $1,288.25 Typical High $1,412.54 | Professional | 52 · Reduced service | $1,288.25 | $1,288.25 | $1,412.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $512.86 Median $512.86 Typical High $562.34 | Professional | 53 · Discontinued | $512.86 | $512.86 | $562.34 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,905.46 Median $1,905.46 Typical High $2,089.30 | Professional | 54 · Surgery only | $1,905.46 | $1,905.46 | $2,089.30 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $380.19 Median $380.19 Typical High $416.87 | Professional | 55 · Aftercare only | $380.19 | $380.19 | $416.87 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $257.04 Median $257.04 Typical High $281.84 | Professional | 56 · Pre-op care only | $257.04 | $257.04 | $281.84 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,778.28 Median $1,778.28 Typical High $1,949.84 | Professional | 78 · Unplanned return to OR | $1,778.28 | $1,778.28 | $1,949.84 |
Where Nevada sits
The same service costs 8.7 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· 36th of 51
$2,951
AK $10,715TX $1,230
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.