How much rates vary
Facilitymedian $4,677 · 10th to 90th $1,622 to $9,772Professionalmedian $2,951 · 10th to 90th $2,188 to $4,571
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 $2,754.23 Median $2,754.23 Typical High $3,019.95 | Professional | None | $2,754.23 | $2,754.23 | $3,019.95 |
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 $2,818.38 Median $3,235.94 Typical High $5,128.61 | Professional | None | $2,818.38 | $3,235.94 | $5,128.61 |
Cigna Setting Facility Modifier None Typical Low $724.44 Median $5,128.61 Typical High $7,079.46 | Facility | None | $724.44 | $5,128.61 | $7,079.46 |
Cigna Setting Professional Modifier None Typical Low $2,344.23 Median $2,454.71 Typical High $4,786.30 | Professional | None | $2,344.23 | $2,454.71 | $4,786.30 |
Hometown Health Setting Professional Modifier None Typical Low $48.98 Median $2,454.71 Typical High $4,265.80 | Professional | None | $48.98 | $2,454.71 | $4,265.80 |
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 $3,715.35 | Professional | None | $36.31 | $36.31 | $3,715.35 |
Select Health Setting Facility Modifier None Typical Low $2,511.89 Median $2,511.89 Typical High $4,265.80 | Facility | None | $2,511.89 | $2,511.89 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $1,995.26 Median $2,511.89 Typical High $5,128.61 | Professional | None | $1,995.26 | $2,511.89 | $5,128.61 |
United Setting Facility Modifier None Typical Low $1,621.81 Median $2,398.83 Typical High $6,165.95 | Facility | None | $1,621.81 | $2,398.83 | $6,165.95 |
United Setting Professional Modifier None Typical Low $2,187.76 Median $2,884.03 Typical High $4,466.84 | Professional | None | $2,187.76 | $2,884.03 | $4,466.84 |
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 $1,380.38 Median $1,380.38 Typical High $1,513.56 | Professional | 52 · Reduced service | $1,380.38 | $1,380.38 | $1,513.56 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $549.54 Median $549.54 Typical High $602.56 | Professional | 53 · Discontinued | $549.54 | $549.54 | $602.56 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $2,089.30 Median $2,089.30 Typical High $2,290.87 | Professional | 54 · Surgery only | $2,089.30 | $2,089.30 | $2,290.87 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $416.87 Median $416.87 Typical High $457.09 | Professional | 55 · Aftercare only | $416.87 | $416.87 | $457.09 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $275.42 Median $275.42 Typical High $302.00 | Professional | 56 · Pre-op care only | $275.42 | $275.42 | $302.00 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,949.84 Median $1,949.84 Typical High $2,137.96 | Professional | 78 · Unplanned return to OR | $1,949.84 | $1,949.84 | $2,137.96 |
Where Nevada sits
The same service costs 19.1 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
$3,020
AK $11,482TX $603
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.