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 $549.54 Median $4,786.30 Typical High $7,585.78 | Facility | None | $549.54 | $4,786.30 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $501.19 Median $602.56 Typical High $660.69 | Professional | None | $501.19 | $602.56 | $660.69 |
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 $524.81 Median $602.56 Typical High $977.24 | Professional | None | $524.81 | $602.56 | $977.24 |
Cigna Setting Facility Modifier None Typical Low $1,148.15 Median $2,344.23 Typical High $3,235.94 | Facility | None | $1,148.15 | $2,344.23 | $3,235.94 |
Cigna Setting Professional Modifier None Typical Low $478.63 Median $630.96 Typical High $977.24 | Professional | None | $478.63 | $630.96 | $977.24 |
Hometown Health Setting Professional Modifier None Typical Low $15.14 Median $645.65 Typical High $1,318.26 | Professional | None | $15.14 | $645.65 | $1,318.26 |
Hometown Health Setting Facility Modifier None Typical Low $2,238.72 Median $2,238.72 Typical High $2,238.72 | Facility | None | $2,238.72 | $2,238.72 | $2,238.72 |
Hometown Health Setting Professional Modifier None Typical Low $8.91 Median $724.44 Typical High $3,388.44 | Professional | None | $8.91 | $724.44 | $3,388.44 |
Select Health Setting Facility Modifier None Typical Low $478.63 Median $645.65 Typical High $4,265.80 | Facility | None | $478.63 | $645.65 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $389.05 Median $575.44 Typical High $977.24 | Professional | None | $389.05 | $575.44 | $977.24 |
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 $501.19 Median $691.83 Typical High $1,047.13 | Professional | None | $501.19 | $691.83 | $1,047.13 |
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 $251.19 Median $302.00 Typical High $331.13 | Professional | 52 · Reduced service | $251.19 | $302.00 | $331.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $100.00 Median $120.23 Typical High $131.83 | Professional | 53 · Discontinued | $100.00 | $120.23 | $131.83 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $380.19 Median $446.68 Typical High $489.78 | Professional | 54 · Surgery only | $380.19 | $446.68 | $489.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $75.86 Median $89.13 Typical High $100.00 | Professional | 55 · Aftercare only | $75.86 | $89.13 | $100.00 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $50.12 Median $60.26 Typical High $66.07 | Professional | 56 · Pre-op care only | $50.12 | $60.26 | $66.07 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $354.81 Median $416.87 Typical High $457.09 | Professional | 78 · Unplanned return to OR | $354.81 | $416.87 | $457.09 |
Where Nevada sits
The same service costs 6.2 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· 44th of 51
$646
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.