How much rates vary
Facilitymedian $3,548 · 10th to 90th $1,259 to $5,754Professionalmedian $1,514 · 10th to 90th $1,096 to $2,399
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 $1,230.27 Median $3,981.07 Typical High $5,248.07 | Facility | None | $1,230.27 | $3,981.07 | $5,248.07 |
Aetna Setting Professional Modifier None Typical Low $1,230.27 Median $1,584.89 Typical High $1,584.89 | Professional | None | $1,230.27 | $1,584.89 | $1,584.89 |
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 $1,148.15 Median $1,659.59 Typical High $2,511.89 | Professional | None | $1,148.15 | $1,659.59 | $2,511.89 |
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 $954.99 Median $1,148.15 Typical High $2,137.96 | Professional | None | $954.99 | $1,148.15 | $2,137.96 |
Hometown Health Setting Professional Modifier None Typical Low $1,047.13 Median $1,548.82 Typical High $3,801.89 | Professional | None | $1,047.13 | $1,548.82 | $3,801.89 |
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 $7.24 Median $1,548.82 Typical High $4,786.30 | Professional | None | $7.24 | $1,548.82 | $4,786.30 |
Select Health Setting Facility Modifier None Typical Low $1,047.13 Median $1,621.81 Typical High $4,265.80 | Facility | None | $1,047.13 | $1,621.81 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $1,445.44 Median $1,445.44 Typical High $1,445.44 | Professional | None | $1,445.44 | $1,445.44 | $1,445.44 |
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 $1,513.56 Typical High $2,344.23 | Professional | None | $1,000.00 | $1,513.56 | $2,344.23 |
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 $616.60 Median $691.83 Typical High $794.33 | Professional | 52 · Reduced service | $616.60 | $691.83 | $794.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $251.19 Median $281.84 Typical High $316.23 | Professional | 53 · Discontinued | $251.19 | $281.84 | $316.23 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $933.25 Median $1,047.13 Typical High $1,202.26 | Professional | 54 · Surgery only | $933.25 | $1,047.13 | $1,202.26 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $186.21 Median $208.93 Typical High $239.88 | Professional | 55 · Aftercare only | $186.21 | $208.93 | $239.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $123.03 Median $138.04 Typical High $158.49 | Professional | 56 · Pre-op care only | $123.03 | $138.04 | $158.49 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $870.96 Median $977.24 Typical High $1,122.02 | Professional | 78 · Unplanned return to OR | $870.96 | $977.24 | $1,122.02 |
Where Nevada sits
The same service costs 5.2 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
$1,585
AK $6,026TX $1,148
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.