How much rates vary
Facilitymedian $4,365 · 10th to 90th $1,820 to $6,607Professionalmedian $1,820 · 10th to 90th $1,445 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 $1,819.70 Median $3,981.07 Typical High $8,128.31 | Facility | None | $1,819.70 | $3,981.07 | $8,128.31 |
Aetna Setting Professional Modifier None Typical Low $1,659.59 Median $1,659.59 Typical High $1,819.70 | Professional | None | $1,659.59 | $1,659.59 | $1,819.70 |
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 $1,949.84 Typical High $3,090.30 | Professional | None | $1,659.59 | $1,949.84 | $3,090.30 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $5,128.61 Typical High $7,079.46 | Facility | None | $741.31 | $5,128.61 | $7,079.46 |
Cigna Setting Professional Modifier None Typical Low $1,445.44 Median $1,479.11 Typical High $2,630.27 | Professional | None | $1,445.44 | $1,479.11 | $2,630.27 |
Hometown Health Setting Professional Modifier None Typical Low $23.44 Median $1,513.56 Typical High $2,630.27 | Professional | None | $23.44 | $1,513.56 | $2,630.27 |
Hometown Health Setting Facility Modifier None Typical Low $4,897.79 Median $4,897.79 Typical High $4,897.79 | Facility | None | $4,897.79 | $4,897.79 | $4,897.79 |
Hometown Health Setting Professional Modifier None Typical Low $17.38 Median $17.38 Typical High $2,238.72 | Professional | None | $17.38 | $17.38 | $2,238.72 |
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 $1,905.46 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 $1,479.11 Median $1,737.80 Typical High $2,630.27 | Professional | None | $1,479.11 | $1,737.80 | $2,630.27 |
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 $831.76 Median $831.76 Typical High $912.01 | Professional | 52 · Reduced service | $831.76 | $831.76 | $912.01 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $331.13 Median $331.13 Typical High $363.08 | Professional | 53 · Discontinued | $331.13 | $331.13 | $363.08 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,230.27 Median $1,230.27 Typical High $1,348.96 | Professional | 54 · Surgery only | $1,230.27 | $1,230.27 | $1,348.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $245.47 Median $245.47 Typical High $269.15 | Professional | 55 · Aftercare only | $245.47 | $245.47 | $269.15 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $165.96 Median $165.96 Typical High $181.97 | Professional | 56 · Pre-op care only | $165.96 | $165.96 | $181.97 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,148.15 Median $1,148.15 Typical High $1,258.93 | Professional | 78 · Unplanned return to OR | $1,148.15 | $1,148.15 | $1,258.93 |
Where Nevada sits
The same service costs 9.3 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
$1,905
AK $6,918TX $741
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.