How much rates vary
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 $331.13 Median $2,137.96 Typical High $10,715.19 | Facility | None | $331.13 | $2,137.96 | $10,715.19 |
Aetna Setting Professional Modifier None Typical Low $331.13 Median $436.52 Typical High $457.09 | Professional | None | $331.13 | $436.52 | $457.09 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,570.40 Median $3,801.89 Typical High $5,128.61 | Facility | None | $2,570.40 | $3,801.89 | $5,128.61 |
Anthem BCBS Setting Professional Modifier None Typical Low $354.81 Median $501.19 Typical High $741.31 | Professional | None | $354.81 | $501.19 | $741.31 |
Cigna Setting Facility Modifier None Typical Low $316.23 Median $371.54 Typical High $602.56 | Facility | None | $316.23 | $371.54 | $602.56 |
Cigna Setting Professional Modifier None Typical Low $338.84 Median $501.19 Typical High $758.58 | Professional | None | $338.84 | $501.19 | $758.58 |
Hometown Health Setting Professional Modifier None Typical Low $346.74 Median $478.63 Typical High $707.95 | Professional | None | $346.74 | $478.63 | $707.95 |
Hometown Health Setting Facility Modifier None Typical Low $331.13 Median $331.13 Typical High $331.13 | Facility | None | $331.13 | $331.13 | $331.13 |
Hometown Health Setting Professional Modifier None Typical Low $2.40 Median $478.63 Typical High $707.95 | Professional | None | $2.40 | $478.63 | $707.95 |
Select Health Setting Facility Modifier None Typical Low $316.23 Median $478.63 Typical High $4,265.80 | Facility | None | $316.23 | $478.63 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $331.13 Median $331.13 Typical High $331.13 | Professional | None | $331.13 | $331.13 | $331.13 |
United Setting Facility Modifier None Typical Low $302.00 Median $512.86 Typical High $2,137.96 | Facility | None | $302.00 | $512.86 | $2,137.96 |
United Setting Professional Modifier None Typical Low $309.03 Median $489.78 Typical High $724.44 | Professional | None | $309.03 | $489.78 | $724.44 |
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 $165.96 Median $208.93 Typical High $229.09 | Professional | 52 · Reduced service | $165.96 | $208.93 | $229.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $66.07 Median $83.18 Typical High $91.20 | Professional | 53 · Discontinued | $66.07 | $83.18 | $91.20 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $251.19 Median $309.03 Typical High $346.74 | Professional | 54 · Surgery only | $251.19 | $309.03 | $346.74 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $50.12 Median $61.66 Typical High $69.18 | Professional | 55 · Aftercare only | $50.12 | $61.66 | $69.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $33.11 Median $41.69 Typical High $45.71 | Professional | 56 · Pre-op care only | $33.11 | $41.69 | $45.71 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $234.42 Median $288.40 Typical High $323.59 | Professional | 78 · Unplanned return to OR | $234.42 | $288.40 | $323.59 |
Where Nevada sits
The same service costs 5.1 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· 38th of 51
$479
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.