How much rates vary
Facilitymedian $4,169 · 10th to 90th $1,622 to $6,166Professionalmedian $1,905 · 10th to 90th $1,514 to $3,090
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 $1,737.80 Median $3,162.28 Typical High $7,244.36 | Facility | None | $1,737.80 | $3,162.28 | $7,244.36 |
Aetna Setting Professional Modifier None Typical Low $1,737.80 Median $1,737.80 Typical High $1,905.46 | Professional | None | $1,737.80 | $1,737.80 | $1,905.46 |
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 $1,778.28 Median $2,041.74 Typical High $3,311.31 | Professional | None | $1,778.28 | $2,041.74 | $3,311.31 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $4,168.69 Typical High $5,754.40 | Facility | None | $741.31 | $4,168.69 | $5,754.40 |
Cigna Setting Professional Modifier None Typical Low $1,513.56 Median $1,621.81 Typical High $3,019.95 | Professional | None | $1,513.56 | $1,621.81 | $3,019.95 |
Hometown Health Setting Professional Modifier None Typical Low $38.90 Median $1,548.82 Typical High $2,630.27 | Professional | None | $38.90 | $1,548.82 | $2,630.27 |
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 $29.51 Median $29.51 Typical High $2,290.87 | Professional | None | $29.51 | $29.51 | $2,290.87 |
Select Health Setting Facility Modifier None Typical Low $1,548.82 Median $1,548.82 Typical High $4,265.80 | Facility | None | $1,548.82 | $1,548.82 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $1,230.27 Median $1,548.82 Typical High $3,090.30 | Professional | None | $1,230.27 | $1,548.82 | $3,090.30 |
United Setting Facility Modifier None Typical Low $1,621.81 Median $2,398.83 Typical High $6,918.31 | Facility | None | $1,621.81 | $2,398.83 | $6,918.31 |
United Setting Professional Modifier None Typical Low $1,548.82 Median $1,862.09 Typical High $2,818.38 | Professional | None | $1,548.82 | $1,862.09 | $2,818.38 |
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 $870.96 Median $870.96 Typical High $954.99 | Professional | 52 · Reduced service | $870.96 | $870.96 | $954.99 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $346.74 Median $346.74 Typical High $380.19 | Professional | 53 · Discontinued | $346.74 | $346.74 | $380.19 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,288.25 Median $1,288.25 Typical High $1,445.44 | Professional | 54 · Surgery only | $1,288.25 | $1,288.25 | $1,445.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $263.03 Median $263.03 Typical High $288.40 | Professional | 55 · Aftercare only | $263.03 | $263.03 | $288.40 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $173.78 Median $173.78 Typical High $190.55 | Professional | 56 · Pre-op care only | $173.78 | $173.78 | $190.55 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,202.26 Median $1,202.26 Typical High $1,348.96 | Professional | 78 · Unplanned return to OR | $1,202.26 | $1,202.26 | $1,348.96 |
Where Nevada sits
The same service costs 20.0 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
$2,042
AK $7,244TX $363
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.