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 $1,174.90 Median $3,981.07 Typical High $10,715.19 | Facility | None | $1,174.90 | $3,981.07 | $10,715.19 |
Aetna Setting Professional Modifier None Typical Low $1,174.90 Median $1,174.90 Typical High $1,230.27 | Professional | None | $1,174.90 | $1,174.90 | $1,230.27 |
Anthem BCBS Setting Facility Modifier None Typical Low $3,801.89 Median $7,585.78 Typical High $15,848.93 | Facility | None | $3,801.89 | $7,585.78 | $15,848.93 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,230.27 Median $1,479.11 Typical High $2,511.89 | Professional | None | $1,230.27 | $1,479.11 | $2,511.89 |
Cigna Setting Facility Modifier None Typical Low $562.34 Median $912.01 Typical High $6,309.57 | Facility | None | $562.34 | $912.01 | $6,309.57 |
Cigna Setting Professional Modifier None Typical Low $1,000.00 Median $1,000.00 Typical High $1,862.09 | Professional | None | $1,000.00 | $1,000.00 | $1,862.09 |
Hometown Health Setting Professional Modifier None Typical Low $18.20 Median $1,258.93 Typical High $1,949.84 | Professional | None | $18.20 | $1,258.93 | $1,949.84 |
Hometown Health Setting Professional Modifier None Typical Low $15.49 Median $15.49 Typical High $1,737.80 | Professional | None | $15.49 | $15.49 | $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 $302.00 Median $794.33 Typical High $2,951.21 | Facility | None | $302.00 | $794.33 | $2,951.21 |
United Setting Professional Modifier None Typical Low $891.25 Median $1,258.93 Typical High $2,187.76 | Professional | None | $891.25 | $1,258.93 | $2,187.76 |
2 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 54 · Surgery only Typical Low $870.96 Median $870.96 Typical High $912.01 | Professional | 54 · Surgery only | $870.96 | $870.96 | $912.01 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $812.83 Median $812.83 Typical High $851.14 | Professional | 78 · Unplanned return to OR | $812.83 | $812.83 | $851.14 |
Where Nevada sits
The same service costs 6.8 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· 34th of 51
$1,318
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.