How much rates vary
Facilitymedian $3,548 · 10th to 90th $1,585 to $5,754Professionalmedian $1,585 · 10th to 90th $1,175 to $2,570
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 $1,659.59 Median $3,981.07 Typical High $8,128.31 | Facility | None | $1,659.59 | $3,981.07 | $8,128.31 |
Aetna Setting Professional Modifier None Typical Low $1,584.89 Median $1,584.89 Typical High $2,238.72 | Professional | None | $1,584.89 | $1,584.89 | $2,238.72 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,951.21 Median $4,677.35 Typical High $6,165.95 | Facility | None | $2,951.21 | $4,677.35 | $6,165.95 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,479.11 Median $1,778.28 Typical High $3,090.30 | Professional | None | $1,479.11 | $1,778.28 | $3,090.30 |
Cigna Setting Facility Modifier None Typical Low $691.83 Median $3,162.28 Typical High $4,570.88 | Facility | None | $691.83 | $3,162.28 | $4,570.88 |
Cigna Setting Professional Modifier None Typical Low $1,174.90 Median $1,258.93 Typical High $2,238.72 | Professional | None | $1,174.90 | $1,258.93 | $2,238.72 |
Hometown Health Setting Professional Modifier None Typical Low $14.79 Median $1,513.56 Typical High $2,238.72 | Professional | None | $14.79 | $1,513.56 | $2,238.72 |
Hometown Health Setting Facility Modifier None Typical Low $3,162.28 Median $3,162.28 Typical High $3,162.28 | Facility | None | $3,162.28 | $3,162.28 | $3,162.28 |
Hometown Health Setting Professional Modifier None Typical Low $12.59 Median $12.59 Typical High $1,949.84 | Professional | None | $12.59 | $12.59 | $1,949.84 |
Select Health Setting Facility Modifier None Typical Low $1,318.26 Median $1,318.26 Typical High $4,265.80 | Facility | None | $1,318.26 | $1,318.26 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $1,174.90 Median $1,174.90 Typical High $1,174.90 | Professional | None | $1,174.90 | $1,174.90 | $1,174.90 |
United Setting Facility Modifier None Typical Low $1,621.81 Median $2,398.83 Typical High $6,918.31 | Facility | None | $1,621.81 | $2,398.83 | $6,918.31 |
United Setting Professional Modifier None Typical Low $1,230.27 Median $1,548.82 Typical High $2,398.83 | Professional | None | $1,230.27 | $1,548.82 | $2,398.83 |
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 $831.76 | Professional | 52 · Reduced service | $794.33 | $794.33 | $831.76 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $316.23 Median $316.23 Typical High $331.13 | Professional | 53 · Discontinued | $316.23 | $316.23 | $331.13 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,174.90 Median $1,174.90 Typical High $1,230.27 | Professional | 54 · Surgery only | $1,174.90 | $1,174.90 | $1,230.27 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $234.42 Median $234.42 Typical High $245.47 | Professional | 55 · Aftercare only | $234.42 | $234.42 | $245.47 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $158.49 Median $158.49 Typical High $165.96 | Professional | 56 · Pre-op care only | $158.49 | $158.49 | $165.96 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,096.48 Median $1,096.48 Typical High $1,148.15 | Professional | 78 · Unplanned return to OR | $1,096.48 | $1,096.48 | $1,148.15 |
Where Nevada sits
The same service costs 7.1 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 $6,026TX $851
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.