How much rates vary
Facilitymedian $6,026 · 10th to 90th $2,138 to $16,982Professionalmedian $2,042 · 10th to 90th $1,549 to $3,236
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 $2,137.96 Median $4,570.88 Typical High $10,715.19 | Facility | None | $2,137.96 | $4,570.88 | $10,715.19 |
Aetna Setting Professional Modifier None Typical Low $1,949.84 Median $1,949.84 Typical High $2,137.96 | Professional | None | $1,949.84 | $1,949.84 | $2,137.96 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,754.23 Median $5,754.40 Typical High $19,498.45 | Facility | None | $2,754.23 | $5,754.40 | $19,498.45 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,949.84 Median $2,238.72 Typical High $3,630.78 | Professional | None | $1,949.84 | $2,238.72 | $3,630.78 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $10,471.29 Typical High $14,791.08 | Facility | None | $741.31 | $10,471.29 | $14,791.08 |
Cigna Setting Professional Modifier None Typical Low $1,548.82 Median $1,659.59 Typical High $3,090.30 | Professional | None | $1,548.82 | $1,659.59 | $3,090.30 |
Hometown Health Setting Professional Modifier None Typical Low $27.54 Median $1,778.28 Typical High $3,235.94 | Professional | None | $27.54 | $1,778.28 | $3,235.94 |
Hometown Health Setting Facility Modifier None Typical Low $10,000.00 Median $10,000.00 Typical High $10,000.00 | Facility | None | $10,000.00 | $10,000.00 | $10,000.00 |
Hometown Health Setting Professional Modifier None Typical Low $20.89 Median $20.89 Typical High $2,818.38 | Professional | None | $20.89 | $20.89 | $2,818.38 |
Select Health Setting Facility Modifier None Typical Low $1,862.09 Median $1,862.09 Typical High $4,265.80 | Facility | None | $1,862.09 | $1,862.09 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $1,513.56 Median $1,862.09 Typical High $4,897.79 | Professional | None | $1,513.56 | $1,862.09 | $4,897.79 |
United Setting Facility Modifier None Typical Low $2,570.40 Median $5,128.61 Typical High $14,791.08 | Facility | None | $2,570.40 | $5,128.61 | $14,791.08 |
United Setting Professional Modifier None Typical Low $1,621.81 Median $1,995.26 Typical High $3,019.95 | Professional | None | $1,621.81 | $1,995.26 | $3,019.95 |
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 $977.24 Median $977.24 Typical High $1,071.52 | Professional | 52 · Reduced service | $977.24 | $977.24 | $1,071.52 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $389.05 Median $389.05 Typical High $426.58 | Professional | 53 · Discontinued | $389.05 | $389.05 | $426.58 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,479.11 Median $1,479.11 Typical High $1,621.81 | Professional | 54 · Surgery only | $1,479.11 | $1,479.11 | $1,621.81 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $295.12 Median $295.12 Typical High $323.59 | Professional | 55 · Aftercare only | $295.12 | $295.12 | $323.59 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $194.98 Median $194.98 Typical High $213.80 | Professional | 56 · Pre-op care only | $194.98 | $194.98 | $213.80 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,380.38 Median $1,380.38 Typical High $1,513.56 | Professional | 78 · Unplanned return to OR | $1,380.38 | $1,380.38 | $1,513.56 |
Where Nevada sits
The same service costs 16.2 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· 38th of 51
$2,188
AK $8,128TX $501
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.