How much rates vary
Facilitymedian $3,162 · 10th to 90th $912 to $5,754Professionalmedian $794 · 10th to 90th $562 to $1,096
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 $707.95 Median $3,162.28 Typical High $5,011.87 | Facility | None | $707.95 | $3,162.28 | $5,011.87 |
Aetna Setting Professional Modifier None Typical Low $707.95 Median $794.33 Typical High $912.01 | Professional | None | $707.95 | $794.33 | $912.01 |
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 $660.69 Median $851.14 Typical High $1,380.38 | Professional | None | $660.69 | $851.14 | $1,380.38 |
Cigna Setting Facility Modifier None Typical Low $724.44 Median $3,311.31 Typical High $4,570.88 | Facility | None | $724.44 | $3,311.31 | $4,570.88 |
Cigna Setting Professional Modifier None Typical Low $524.81 Median $691.83 Typical High $1,047.13 | Professional | None | $524.81 | $691.83 | $1,047.13 |
Hometown Health Setting Professional Modifier None Typical Low $562.34 Median $776.25 Typical High $1,479.11 | Professional | None | $562.34 | $776.25 | $1,479.11 |
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 $3.63 Median $870.96 Typical High $4,786.30 | Professional | None | $3.63 | $870.96 | $4,786.30 |
Select Health Setting Facility Modifier None Typical Low $575.44 Median $851.14 Typical High $4,265.80 | Facility | None | $575.44 | $851.14 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $489.78 Median $549.54 Typical High $1,174.90 | Professional | None | $489.78 | $549.54 | $1,174.90 |
United Setting Facility Modifier None Typical Low $954.99 Median $1,318.26 Typical High $3,311.31 | Facility | None | $954.99 | $1,318.26 | $3,311.31 |
United Setting Professional Modifier None Typical Low $354.81 Median $794.33 Typical High $1,096.48 | Professional | None | $354.81 | $794.33 | $1,096.48 |
8 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 $354.81 Median $398.11 Typical High $457.09 | Professional | 52 · Reduced service | $354.81 | $398.11 | $457.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $141.25 Median $158.49 Typical High $181.97 | Professional | 53 · Discontinued | $141.25 | $158.49 | $181.97 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $524.81 Median $588.84 Typical High $676.08 | Professional | 54 · Surgery only | $524.81 | $588.84 | $676.08 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $104.71 Median $117.49 Typical High $134.90 | Professional | 55 · Aftercare only | $104.71 | $117.49 | $134.90 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $70.79 Median $79.43 Typical High $91.20 | Professional | 56 · Pre-op care only | $70.79 | $79.43 | $91.20 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $489.78 Median $549.54 Typical High $630.96 | Professional | 78 · Unplanned return to OR | $489.78 | $549.54 | $630.96 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $100.00 Median $128.82 Typical High $190.55 | Professional | 80 · Assistant surgeon | $100.00 | $128.82 | $190.55 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $87.10 Median $112.20 Typical High $169.82 | Professional | AS · PA/NP assist | $87.10 | $112.20 | $169.82 |
Where Nevada sits
The same service costs 4.4 times more in Alaska than in New Jersey. 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· 41st of 51
$794
AK $2,754NJ $631
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.