How much rates vary
Facilitymedian $4,169 · 10th to 90th $1,660 to $6,166Professionalmedian $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 $2,691.53 Median $2,691.53 Typical High $2,951.21 | Professional | None | $2,691.53 | $2,691.53 | $2,951.21 |
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 $2,754.23 Median $3,162.28 Typical High $5,128.61 | Professional | None | $2,754.23 | $3,162.28 | $5,128.61 |
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 $2,187.76 Median $2,398.83 Typical High $4,677.35 | Professional | None | $2,187.76 | $2,398.83 | $4,677.35 |
Hometown Health Setting Professional Modifier None Typical Low $64.57 Median $2,290.87 Typical High $3,981.07 | Professional | None | $64.57 | $2,290.87 | $3,981.07 |
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 $47.86 Median $47.86 Typical High $3,548.13 | Professional | None | $47.86 | $47.86 | $3,548.13 |
Select Health Setting Facility Modifier None Typical Low $2,344.23 Median $2,344.23 Typical High $4,265.80 | Facility | None | $2,344.23 | $2,344.23 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $1,905.46 Median $2,344.23 Typical High $4,786.30 | Professional | None | $1,905.46 | $2,344.23 | $4,786.30 |
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 $2,454.71 Median $3,019.95 Typical High $4,365.16 | Professional | None | $2,454.71 | $3,019.95 | $4,365.16 |
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 $1,348.96 Median $1,348.96 Typical High $1,479.11 | Professional | 52 · Reduced service | $1,348.96 | $1,348.96 | $1,479.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $537.03 Median $537.03 Typical High $588.84 | Professional | 53 · Discontinued | $537.03 | $537.03 | $588.84 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $2,041.74 Median $2,041.74 Typical High $2,238.72 | Professional | 54 · Surgery only | $2,041.74 | $2,041.74 | $2,238.72 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $407.38 Median $407.38 Typical High $446.68 | Professional | 55 · Aftercare only | $407.38 | $407.38 | $446.68 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $269.15 Median $269.15 Typical High $295.12 | Professional | 56 · Pre-op care only | $269.15 | $269.15 | $295.12 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,905.46 Median $1,905.46 Typical High $2,089.30 | Professional | 78 · Unplanned return to OR | $1,905.46 | $1,905.46 | $2,089.30 |
Where Nevada sits
The same service costs 20.9 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
$3,020
AK $11,220TX $537
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.