How much rates vary
Facilitymedian $2,239 · 10th to 90th $1,175 to $5,129Professionalmedian $1,698 · 10th to 90th $1,318 to $2,692
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 $1,621.81 Median $2,238.72 Typical High $5,128.61 | Facility | None | $1,621.81 | $2,238.72 | $5,128.61 |
Aetna Setting Professional Modifier None Typical Low $1,621.81 Median $1,621.81 Typical High $1,778.28 | Professional | None | $1,621.81 | $1,621.81 | $1,778.28 |
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 $1,659.59 Median $1,905.46 Typical High $3,090.30 | Professional | None | $1,659.59 | $1,905.46 | $3,090.30 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $1,737.80 Typical High $2,454.71 | Facility | None | $501.19 | $1,737.80 | $2,454.71 |
Cigna Setting Professional Modifier None Typical Low $1,318.26 Median $1,348.96 Typical High $2,691.53 | Professional | None | $1,318.26 | $1,348.96 | $2,691.53 |
Hometown Health Setting Professional Modifier None Typical Low $17.78 Median $1,479.11 Typical High $2,398.83 | Professional | None | $17.78 | $1,479.11 | $2,398.83 |
Hometown Health Setting Facility Modifier None Typical Low $1,698.24 Median $1,698.24 Typical High $1,698.24 | Facility | None | $1,698.24 | $1,698.24 | $1,698.24 |
Hometown Health Setting Professional Modifier None Typical Low $13.18 Median $13.18 Typical High $2,290.87 | Professional | None | $13.18 | $13.18 | $2,290.87 |
Select Health Setting Facility Modifier None Typical Low $1,513.56 Median $1,513.56 Typical High $4,265.80 | Facility | None | $1,513.56 | $1,513.56 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $1,202.26 Median $1,513.56 Typical High $3,090.30 | Professional | None | $1,202.26 | $1,513.56 | $3,090.30 |
United Setting Facility Modifier None Typical Low $1,174.90 Median $1,698.24 Typical High $4,073.80 | Facility | None | $1,174.90 | $1,698.24 | $4,073.80 |
United Setting Professional Modifier None Typical Low $1,380.38 Median $1,659.59 Typical High $2,511.89 | Professional | None | $1,380.38 | $1,659.59 | $2,511.89 |
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 $812.83 Median $812.83 Typical High $891.25 | Professional | 52 · Reduced service | $812.83 | $812.83 | $891.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $323.59 Median $323.59 Typical High $354.81 | Professional | 53 · Discontinued | $323.59 | $323.59 | $354.81 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,202.26 Median $1,202.26 Typical High $1,318.26 | Professional | 54 · Surgery only | $1,202.26 | $1,202.26 | $1,318.26 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $239.88 Median $239.88 Typical High $269.15 | Professional | 55 · Aftercare only | $239.88 | $239.88 | $269.15 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $162.18 Median $162.18 Typical High $177.83 | Professional | 56 · Pre-op care only | $162.18 | $162.18 | $177.83 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,122.02 Median $1,122.02 Typical High $1,230.27 | Professional | 78 · Unplanned return to OR | $1,122.02 | $1,122.02 | $1,230.27 |
Where Nevada sits
The same service costs 7.8 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
$1,778
AK $6,761TX $871
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.