How much rates vary
Facilitymedian $3,548 · 10th to 90th $1,349 to $5,754Professionalmedian $1,380 · 10th to 90th $1,047 to $2,188
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 $1,412.54 Median $3,981.07 Typical High $8,128.31 | Facility | None | $1,412.54 | $3,981.07 | $8,128.31 |
Aetna Setting Professional Modifier None Typical Low $1,348.96 Median $1,348.96 Typical High $1,949.84 | Professional | None | $1,348.96 | $1,348.96 | $1,949.84 |
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 $1,288.25 Median $1,548.82 Typical High $2,630.27 | Professional | None | $1,288.25 | $1,548.82 | $2,630.27 |
Cigna Setting Facility Modifier None Typical Low $794.33 Median $3,311.31 Typical High $4,570.88 | Facility | None | $794.33 | $3,311.31 | $4,570.88 |
Cigna Setting Professional Modifier None Typical Low $1,047.13 Median $1,047.13 Typical High $2,041.74 | Professional | None | $1,047.13 | $1,047.13 | $2,041.74 |
Hometown Health Setting Professional Modifier None Typical Low $17.38 Median $1,318.26 Typical High $1,949.84 | Professional | None | $17.38 | $1,318.26 | $1,949.84 |
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 $15.14 Median $15.14 Typical High $1,737.80 | Professional | None | $15.14 | $15.14 | $1,737.80 |
Select Health Setting Facility Modifier None Typical Low $1,148.15 Median $1,148.15 Typical High $4,265.80 | Facility | None | $1,148.15 | $1,148.15 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $1,047.13 Median $1,047.13 Typical High $1,047.13 | Professional | None | $1,047.13 | $1,047.13 | $1,047.13 |
United Setting Facility Modifier None Typical Low $1,621.81 Median $2,398.83 Typical High $6,165.95 | Facility | None | $1,621.81 | $2,398.83 | $6,165.95 |
United Setting Professional Modifier None Typical Low $1,000.00 Median $1,348.96 Typical High $1,949.84 | Professional | None | $1,000.00 | $1,348.96 | $1,949.84 |
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 $676.08 Median $676.08 Typical High $707.95 | Professional | 52 · Reduced service | $676.08 | $676.08 | $707.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $269.15 Median $269.15 Typical High $288.40 | Professional | 53 · Discontinued | $269.15 | $269.15 | $288.40 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,023.29 Median $1,023.29 Typical High $1,071.52 | Professional | 54 · Surgery only | $1,023.29 | $1,023.29 | $1,071.52 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $204.17 Median $204.17 Typical High $213.80 | Professional | 55 · Aftercare only | $204.17 | $204.17 | $213.80 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $134.90 Median $134.90 Typical High $141.25 | Professional | 56 · Pre-op care only | $134.90 | $134.90 | $141.25 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $954.99 Median $954.99 Typical High $1,000.00 | Professional | 78 · Unplanned return to OR | $954.99 | $954.99 | $1,000.00 |
Where Nevada sits
The same service costs 6.6 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
$1,549
AK $5,248TX $794
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.