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 $645.65 Median $3,981.07 Typical High $5,248.07 | Facility | None | $645.65 | $3,981.07 | $5,248.07 |
Aetna Setting Professional Modifier None Typical Low $588.84 Median $776.25 Typical High $851.14 | Professional | None | $588.84 | $776.25 | $851.14 |
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 $602.56 Median $707.95 Typical High $1,122.02 | Professional | None | $602.56 | $707.95 | $1,122.02 |
Cigna Setting Facility Modifier None Typical Low $794.33 Median $3,311.31 Typical High $4,570.88 | Facility | None | $794.33 | $3,311.31 | $4,570.88 |
Cigna Setting Professional Modifier None Typical Low $467.74 Median $707.95 Typical High $1,148.15 | Professional | None | $467.74 | $707.95 | $1,148.15 |
Hometown Health Setting Professional Modifier None Typical Low $19.05 Median $724.44 Typical High $1,445.44 | Professional | None | $19.05 | $724.44 | $1,445.44 |
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 $11.48 Median $831.76 Typical High $4,786.30 | Professional | None | $11.48 | $831.76 | $4,786.30 |
Select Health Setting Facility Modifier None Typical Low $549.54 Median $794.33 Typical High $4,265.80 | Facility | None | $549.54 | $794.33 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $436.52 Median $691.83 Typical High $1,096.48 | Professional | None | $436.52 | $691.83 | $1,096.48 |
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 $512.86 Median $758.58 Typical High $1,096.48 | Professional | None | $512.86 | $758.58 | $1,096.48 |
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 $295.12 Median $354.81 Typical High $426.58 | Professional | 52 · Reduced service | $295.12 | $354.81 | $426.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $117.49 Median $141.25 Typical High $169.82 | Professional | 53 · Discontinued | $117.49 | $141.25 | $169.82 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $436.52 Median $537.03 Typical High $645.65 | Professional | 54 · Surgery only | $436.52 | $537.03 | $645.65 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $87.10 Median $107.15 Typical High $128.82 | Professional | 55 · Aftercare only | $87.10 | $107.15 | $128.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $58.88 Median $70.79 Typical High $85.11 | Professional | 56 · Pre-op care only | $58.88 | $70.79 | $85.11 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $407.38 Median $501.19 Typical High $602.56 | Professional | 78 · Unplanned return to OR | $407.38 | $501.19 | $602.56 |
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· 39th of 51
$759
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.