How much rates vary
Facilitymedian $3,981 · 10th to 90th $1,738 to $6,166Professionalmedian $1,738 · 10th to 90th $1,230 to $2,754
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 $1,862.09 Median $3,981.07 Typical High $8,128.31 | Facility | None | $1,862.09 | $3,981.07 | $8,128.31 |
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 $2,754.23 Median $4,466.84 Typical High $5,754.40 | Facility | None | $2,754.23 | $4,466.84 | $5,754.40 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,737.80 Median $1,995.26 Typical High $3,090.30 | Professional | None | $1,737.80 | $1,995.26 | $3,090.30 |
Cigna Setting Facility Modifier None Typical Low $691.83 Median $3,890.45 Typical High $5,495.41 | Facility | None | $691.83 | $3,890.45 | $5,495.41 |
Cigna Setting Professional Modifier None Typical Low $1,174.90 Median $1,288.25 Typical High $2,511.89 | Professional | None | $1,174.90 | $1,288.25 | $2,511.89 |
Hometown Health Setting Professional Modifier None Typical Low $24.55 Median $1,479.11 Typical High $2,818.38 | Professional | None | $24.55 | $1,479.11 | $2,818.38 |
Hometown Health Setting Facility Modifier None Typical Low $3,890.45 Median $3,890.45 Typical High $3,890.45 | Facility | None | $3,890.45 | $3,890.45 | $3,890.45 |
Hometown Health Setting Professional Modifier None Typical Low $18.62 Median $18.62 Typical High $2,570.40 | Professional | None | $18.62 | $18.62 | $2,570.40 |
Select Health Setting Facility Modifier None Typical Low $1,737.80 Median $1,737.80 Typical High $4,265.80 | Facility | None | $1,737.80 | $1,737.80 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $1,380.38 Median $1,737.80 Typical High $3,548.13 | Professional | None | $1,380.38 | $1,737.80 | $3,548.13 |
United Setting Facility Modifier None Typical Low $1,905.46 Median $3,019.95 Typical High $6,456.54 | Facility | None | $1,905.46 | $3,019.95 | $6,456.54 |
United Setting Professional Modifier None Typical Low $1,288.25 Median $1,659.59 Typical High $2,454.71 | Professional | None | $1,288.25 | $1,659.59 | $2,454.71 |
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 $1,318.26 Median $1,318.26 Typical High $1,445.44 | Professional | 54 · Surgery only | $1,318.26 | $1,318.26 | $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 $1,230.27 Median $1,230.27 Typical High $1,348.96 | Professional | 78 · Unplanned return to OR | $1,230.27 | $1,230.27 | $1,348.96 |
Where Nevada sits
The same service costs 11.2 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
$1,862
AK $7,244TX $646
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.