How much rates vary
Facilitymedian $3,467 · 10th to 90th $1,622 to $5,754Professionalmedian $2,239 · 10th to 90th $1,549 to $3,548
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 $2,187.76 Median $3,981.07 Typical High $10,715.19 | Facility | None | $2,187.76 | $3,981.07 | $10,715.19 |
Aetna Setting Professional Modifier None Typical Low $2,187.76 Median $2,187.76 Typical High $2,398.83 | Professional | None | $2,187.76 | $2,187.76 | $2,398.83 |
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 $2,238.72 Median $2,570.40 Typical High $3,890.45 | Professional | None | $2,238.72 | $2,570.40 | $3,890.45 |
Cigna Setting Facility Modifier None Typical Low $691.83 Median $3,162.28 Typical High $4,570.88 | Facility | None | $691.83 | $3,162.28 | $4,570.88 |
Cigna Setting Professional Modifier None Typical Low $1,548.82 Median $1,548.82 Typical High $3,548.13 | Professional | None | $1,548.82 | $1,548.82 | $3,548.13 |
Hometown Health Setting Professional Modifier None Typical Low $52.48 Median $1,778.28 Typical High $3,162.28 | Professional | None | $52.48 | $1,778.28 | $3,162.28 |
Hometown Health Setting Facility Modifier None Typical Low $3,162.28 Median $3,162.28 Typical High $3,162.28 | Facility | None | $3,162.28 | $3,162.28 | $3,162.28 |
Hometown Health Setting Professional Modifier None Typical Low $38.90 Median $38.90 Typical High $3,019.95 | Professional | None | $38.90 | $38.90 | $3,019.95 |
Select Health Setting Facility Modifier None Typical Low $1,995.26 Median $1,995.26 Typical High $4,265.80 | Facility | None | $1,995.26 | $1,995.26 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $1,584.89 Median $1,995.26 Typical High $4,073.80 | Professional | None | $1,584.89 | $1,995.26 | $4,073.80 |
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 $1,737.80 Median $2,238.72 Typical High $3,162.28 | Professional | None | $1,737.80 | $2,238.72 | $3,162.28 |
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 $1,071.52 Median $1,071.52 Typical High $1,202.26 | Professional | 52 · Reduced service | $1,071.52 | $1,071.52 | $1,202.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $436.52 Median $436.52 Typical High $478.63 | Professional | 53 · Discontinued | $436.52 | $436.52 | $478.63 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,621.81 Median $1,621.81 Typical High $1,778.28 | Professional | 54 · Surgery only | $1,621.81 | $1,621.81 | $1,778.28 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $323.59 Median $323.59 Typical High $354.81 | Professional | 55 · Aftercare only | $323.59 | $323.59 | $354.81 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $218.78 Median $218.78 Typical High $239.88 | Professional | 56 · Pre-op care only | $218.78 | $218.78 | $239.88 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,513.56 Median $1,513.56 Typical High $1,659.59 | Professional | 78 · Unplanned return to OR | $1,513.56 | $1,513.56 | $1,659.59 |
Where Nevada sits
The same service costs 21.4 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· 37th of 51
$2,291
AK $9,120TX $427
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.