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 $891.25 Median $2,570.40 Typical High $6,165.95 | Facility | None | $891.25 | $2,570.40 | $6,165.95 |
Aetna Setting Professional Modifier None Typical Low $812.83 Median $812.83 Typical High $891.25 | Professional | None | $812.83 | $812.83 | $891.25 |
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 $851.14 Median $977.24 Typical High $1,584.89 | Professional | None | $851.14 | $977.24 | $1,584.89 |
Cigna Setting Facility Modifier None Typical Low $616.60 Median $3,162.28 Typical High $4,570.88 | Facility | None | $616.60 | $3,162.28 | $4,570.88 |
Cigna Setting Professional Modifier None Typical Low $707.95 Median $741.31 Typical High $1,445.44 | Professional | None | $707.95 | $741.31 | $1,445.44 |
Hometown Health Setting Professional Modifier None Typical Low $14.79 Median $794.33 Typical High $1,348.96 | Professional | None | $14.79 | $794.33 | $1,348.96 |
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 $11.22 Median $11.22 Typical High $1,174.90 | Professional | None | $11.22 | $11.22 | $1,174.90 |
Select Health Setting Facility Modifier None Typical Low $794.33 Median $794.33 Typical High $4,265.80 | Facility | None | $794.33 | $794.33 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $630.96 Median $794.33 Typical High $1,584.89 | Professional | None | $630.96 | $794.33 | $1,584.89 |
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 $741.31 Median $891.25 Typical High $1,348.96 | Professional | None | $741.31 | $891.25 | $1,348.96 |
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 $407.38 Median $407.38 Typical High $446.68 | Professional | 52 · Reduced service | $407.38 | $407.38 | $446.68 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $162.18 Median $162.18 Typical High $181.97 | Professional | 53 · Discontinued | $162.18 | $162.18 | $181.97 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $616.60 Median $616.60 Typical High $676.08 | Professional | 54 · Surgery only | $616.60 | $616.60 | $676.08 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $123.03 Median $123.03 Typical High $134.90 | Professional | 55 · Aftercare only | $123.03 | $123.03 | $134.90 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $81.28 Median $81.28 Typical High $89.13 | Professional | 56 · Pre-op care only | $81.28 | $81.28 | $89.13 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $575.44 Median $575.44 Typical High $630.96 | Professional | 78 · Unplanned return to OR | $575.44 | $575.44 | $630.96 |
Where Nevada sits
The same service costs 20.9 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· 37th of 51
$977
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.