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 $1,318.26 Median $3,981.07 Typical High $10,715.19 | Facility | None | $1,318.26 | $3,981.07 | $10,715.19 |
Aetna Setting Professional Modifier None Typical Low $1,318.26 Median $1,318.26 Typical High $1,445.44 | Professional | None | $1,318.26 | $1,318.26 | $1,445.44 |
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 $1,348.96 Median $1,548.82 Typical High $2,454.71 | Professional | None | $1,348.96 | $1,548.82 | $2,454.71 |
Cigna Setting Facility Modifier None Typical Low $691.83 Median $3,162.28 Typical High $4,570.88 | Facility | None | $691.83 | $3,162.28 | $4,570.88 |
Cigna Setting Professional Modifier None Typical Low $954.99 Median $1,023.29 Typical High $2,290.87 | Professional | None | $954.99 | $1,023.29 | $2,290.87 |
Hometown Health Setting Professional Modifier None Typical Low $30.90 Median $1,122.02 Typical High $2,089.30 | Professional | None | $30.90 | $1,122.02 | $2,089.30 |
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 $23.44 Median $23.44 Typical High $1,862.09 | Professional | None | $23.44 | $23.44 | $1,862.09 |
Select Health Setting Facility Modifier None Typical Low $1,230.27 Median $1,230.27 Typical High $4,265.80 | Facility | None | $1,230.27 | $1,230.27 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $977.24 Median $1,230.27 Typical High $2,511.89 | Professional | None | $977.24 | $1,230.27 | $2,511.89 |
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 $1,096.48 Median $1,348.96 Typical High $2,041.74 | Professional | None | $1,096.48 | $1,348.96 | $2,041.74 |
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 $660.69 Median $660.69 Typical High $724.44 | Professional | 52 · Reduced service | $660.69 | $660.69 | $724.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $263.03 Median $263.03 Typical High $288.40 | Professional | 53 · Discontinued | $263.03 | $263.03 | $288.40 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,000.00 Median $1,000.00 Typical High $1,096.48 | Professional | 54 · Surgery only | $1,000.00 | $1,000.00 | $1,096.48 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $199.53 Median $199.53 Typical High $218.78 | Professional | 55 · Aftercare only | $199.53 | $199.53 | $218.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $131.83 Median $131.83 Typical High $144.54 | Professional | 56 · Pre-op care only | $131.83 | $131.83 | $144.54 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $933.25 Median $933.25 Typical High $1,023.29 | Professional | 78 · Unplanned return to OR | $933.25 | $933.25 | $1,023.29 |
Where Nevada sits
The same service costs 17.0 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
$1,445
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.