How much rates vary
Facilitymedian $4,786 · 10th to 90th $1,778 to $11,749Professionalmedian $1,778 · 10th to 90th $1,349 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 $1,584.89 Median $3,981.07 Typical High $10,715.19 | Facility | None | $1,584.89 | $3,981.07 | $10,715.19 |
Aetna Setting Professional Modifier None Typical Low $1,584.89 Median $1,584.89 Typical High $1,737.80 | Professional | None | $1,584.89 | $1,584.89 | $1,737.80 |
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 $1,584.89 Median $1,862.09 Typical High $2,951.21 | Professional | None | $1,584.89 | $1,862.09 | $2,951.21 |
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 $1,348.96 Median $1,412.54 Typical High $2,884.03 | Professional | None | $1,348.96 | $1,412.54 | $2,884.03 |
Hometown Health Setting Professional Modifier None Typical Low $32.36 Median $1,445.44 Typical High $2,511.89 | Professional | None | $32.36 | $1,445.44 | $2,511.89 |
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 $23.99 Median $23.99 Typical High $2,137.96 | Professional | None | $23.99 | $23.99 | $2,137.96 |
Select Health Setting Facility Modifier None Typical Low $1,445.44 Median $1,445.44 Typical High $4,265.80 | Facility | None | $1,445.44 | $1,445.44 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $1,148.15 Median $1,445.44 Typical High $2,951.21 | Professional | None | $1,148.15 | $1,445.44 | $2,951.21 |
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 $1,380.38 Median $1,862.09 Typical High $2,511.89 | Professional | None | $1,380.38 | $1,862.09 | $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 $794.33 Median $794.33 Typical High $870.96 | Professional | 52 · Reduced service | $794.33 | $794.33 | $870.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $316.23 Median $316.23 Typical High $346.74 | Professional | 53 · Discontinued | $316.23 | $316.23 | $346.74 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,174.90 Median $1,174.90 Typical High $1,288.25 | Professional | 54 · Surgery only | $1,174.90 | $1,174.90 | $1,288.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $234.42 Median $234.42 Typical High $257.04 | Professional | 55 · Aftercare only | $234.42 | $234.42 | $257.04 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $158.49 Median $158.49 Typical High $173.78 | Professional | 56 · Pre-op care only | $158.49 | $158.49 | $173.78 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,096.48 Median $1,096.48 Typical High $1,202.26 | Professional | 78 · Unplanned return to OR | $1,096.48 | $1,096.48 | $1,202.26 |
Where Nevada sits
The same service costs 20.4 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· 36th of 51
$1,820
AK $6,607TX $324
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.