How much rates vary
Facilitymedian $4,169 · 10th to 90th $1,585 to $6,166Professionalmedian $1,698 · 10th to 90th $1,288 to $2,692
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 $1,659.59 Median $3,162.28 Typical High $7,244.36 | Facility | None | $1,659.59 | $3,162.28 | $7,244.36 |
Aetna Setting Professional Modifier None Typical Low $1,584.89 Median $1,584.89 Typical High $1,737.80 | Professional | None | $1,584.89 | $1,584.89 | $1,737.80 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,951.21 Median $4,677.35 Typical High $6,165.95 | Facility | None | $2,951.21 | $4,677.35 | $6,165.95 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,621.81 Median $1,862.09 Typical High $3,019.95 | Professional | None | $1,621.81 | $1,862.09 | $3,019.95 |
Cigna Setting Facility Modifier None Typical Low $691.83 Median $3,981.07 Typical High $5,754.40 | Facility | None | $691.83 | $3,981.07 | $5,754.40 |
Cigna Setting Professional Modifier None Typical Low $1,288.25 Median $1,380.38 Typical High $2,630.27 | Professional | None | $1,288.25 | $1,380.38 | $2,630.27 |
Hometown Health Setting Professional Modifier None Typical Low $35.48 Median $1,348.96 Typical High $2,398.83 | Professional | None | $35.48 | $1,348.96 | $2,398.83 |
Hometown Health Setting Facility Modifier None Typical Low $3,981.07 Median $3,981.07 Typical High $3,981.07 | Facility | None | $3,981.07 | $3,981.07 | $3,981.07 |
Hometown Health Setting Professional Modifier None Typical Low $26.30 Median $26.30 Typical High $2,089.30 | Professional | None | $26.30 | $26.30 | $2,089.30 |
Select Health Setting Facility Modifier None Typical Low $1,380.38 Median $1,380.38 Typical High $4,265.80 | Facility | None | $1,380.38 | $1,380.38 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $1,122.02 Median $1,380.38 Typical High $2,818.38 | Professional | None | $1,122.02 | $1,380.38 | $2,818.38 |
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 $1,479.11 Median $1,698.24 Typical High $2,570.40 | Professional | None | $1,479.11 | $1,698.24 | $2,570.40 |
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 $794.33 Median $794.33 Typical High $870.96 | Professional | 52 · Reduced service | $794.33 | $794.33 | $870.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $316.23 Median $316.23 Typical High $346.74 | Professional | 53 · Discontinued | $316.23 | $316.23 | $346.74 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,174.90 Median $1,174.90 Typical High $1,288.25 | Professional | 54 · Surgery only | $1,174.90 | $1,174.90 | $1,288.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $234.42 Median $234.42 Typical High $257.04 | Professional | 55 · Aftercare only | $234.42 | $234.42 | $257.04 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $158.49 Median $158.49 Typical High $173.78 | Professional | 56 · Pre-op care only | $158.49 | $158.49 | $173.78 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,096.48 Median $1,096.48 Typical High $1,202.26 | Professional | 78 · Unplanned return to OR | $1,096.48 | $1,096.48 | $1,202.26 |
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· 36th of 51
$1,862
AK $6,607TX $324
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.