How much rates vary
Facilitymedian $7,413 · 10th to 90th $2,138 to $12,023Professionalmedian $2,630 · 10th to 90th $1,995 to $4,074
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 $4,466.84 Typical High $8,128.31 | Facility | None | $2,238.72 | $4,466.84 | $8,128.31 |
Aetna Setting Professional Modifier None Typical Low $2,398.83 Median $2,398.83 Typical High $2,630.27 | Professional | None | $2,398.83 | $2,398.83 | $2,630.27 |
Anthem BCBS Setting Facility Modifier None Typical Low $4,570.88 Median $7,762.47 Typical High $10,715.19 | Facility | None | $4,570.88 | $7,762.47 | $10,715.19 |
Anthem BCBS Setting Professional Modifier None Typical Low $2,454.71 Median $2,818.38 Typical High $4,570.88 | Professional | None | $2,454.71 | $2,818.38 | $4,570.88 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $10,232.93 Typical High $13,803.84 | Facility | None | $741.31 | $10,232.93 | $13,803.84 |
Cigna Setting Professional Modifier None Typical Low $1,995.26 Median $2,344.23 Typical High $3,981.07 | Professional | None | $1,995.26 | $2,344.23 | $3,981.07 |
Hometown Health Setting Professional Modifier None Typical Low $33.11 Median $2,187.76 Typical High $3,715.35 | Professional | None | $33.11 | $2,187.76 | $3,715.35 |
Hometown Health Setting Facility Modifier None Typical Low $9,772.37 Median $9,772.37 Typical High $9,772.37 | Facility | None | $9,772.37 | $9,772.37 | $9,772.37 |
Hometown Health Setting Professional Modifier None Typical Low $25.12 Median $25.12 Typical High $3,235.94 | Professional | None | $25.12 | $25.12 | $3,235.94 |
Select Health Setting Facility Modifier None Typical Low $2,137.96 Median $2,137.96 Typical High $4,265.80 | Facility | None | $2,137.96 | $2,137.96 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $1,737.80 Median $2,137.96 Typical High $5,623.41 | Professional | None | $1,737.80 | $2,137.96 | $5,623.41 |
United Setting Facility Modifier None Typical Low $2,570.40 Median $5,128.61 Typical High $10,964.78 | Facility | None | $2,570.40 | $5,128.61 | $10,964.78 |
United Setting Professional Modifier None Typical Low $2,137.96 Median $2,570.40 Typical High $3,890.45 | Professional | None | $2,137.96 | $2,570.40 | $3,890.45 |
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 $1,202.26 Median $1,202.26 Typical High $1,318.26 | Professional | 52 · Reduced service | $1,202.26 | $1,202.26 | $1,318.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $478.63 Median $478.63 Typical High $524.81 | Professional | 53 · Discontinued | $478.63 | $478.63 | $524.81 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,819.70 Median $1,819.70 Typical High $1,995.26 | Professional | 54 · Surgery only | $1,819.70 | $1,819.70 | $1,995.26 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $363.08 Median $363.08 Typical High $398.11 | Professional | 55 · Aftercare only | $363.08 | $363.08 | $398.11 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $239.88 Median $239.88 Typical High $263.03 | Professional | 56 · Pre-op care only | $239.88 | $239.88 | $263.03 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,698.24 Median $1,698.24 Typical High $1,862.09 | Professional | 78 · Unplanned return to OR | $1,698.24 | $1,698.24 | $1,862.09 |
Where Nevada sits
The same service costs 25.7 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
$2,754
AK $10,000TX $389
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.