How much rates vary
Facilitymedian $3,162 · 10th to 90th $1,259 to $5,754Professionalmedian $1,549 · 10th to 90th $1,259 to $2,455
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 $3,162.28 Typical High $7,244.36 | Facility | None | $1,584.89 | $3,162.28 | $7,244.36 |
Aetna Setting Professional Modifier None Typical Low $1,513.56 Median $1,513.56 Typical High $2,187.76 | Professional | None | $1,513.56 | $1,513.56 | $2,187.76 |
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 $1,412.54 Median $1,698.24 Typical High $2,951.21 | Professional | None | $1,412.54 | $1,698.24 | $2,951.21 |
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 $1,202.26 Median $1,288.25 Typical High $2,344.23 | Professional | None | $1,202.26 | $1,288.25 | $2,344.23 |
Hometown Health Setting Professional Modifier None Typical Low $16.98 Median $1,513.56 Typical High $2,187.76 | Professional | None | $16.98 | $1,513.56 | $2,187.76 |
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 $14.79 Median $14.79 Typical High $1,862.09 | Professional | None | $14.79 | $14.79 | $1,862.09 |
Select Health Setting Facility Modifier None Typical Low $1,258.93 Median $1,258.93 Typical High $4,265.80 | Facility | None | $1,258.93 | $1,258.93 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $1,122.02 | Professional | None | $1,122.02 | $1,122.02 | $1,122.02 |
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 $1,202.26 Median $1,479.11 Typical High $2,187.76 | Professional | None | $1,202.26 | $1,479.11 | $2,187.76 |
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 $741.31 Median $741.31 Typical High $794.33 | Professional | 52 · Reduced service | $741.31 | $741.31 | $794.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $302.00 Median $302.00 Typical High $316.23 | Professional | 53 · Discontinued | $302.00 | $302.00 | $316.23 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,122.02 Median $1,122.02 Typical High $1,174.90 | Professional | 54 · Surgery only | $1,122.02 | $1,122.02 | $1,174.90 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $223.87 Median $223.87 Typical High $234.42 | Professional | 55 · Aftercare only | $223.87 | $223.87 | $234.42 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $151.36 Median $151.36 Typical High $158.49 | Professional | 56 · Pre-op care only | $151.36 | $151.36 | $158.49 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,047.13 Median $1,047.13 Typical High $1,096.48 | Professional | 78 · Unplanned return to OR | $1,047.13 | $1,047.13 | $1,096.48 |
Where Nevada sits
The same service costs 6.5 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· 39th of 51
$1,660
AK $5,754TX $891
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.