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 $758.58 Median $4,786.30 Typical High $7,585.78 | Facility | None | $758.58 | $4,786.30 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $616.60 Median $758.58 Typical High $831.76 | Professional | None | $616.60 | $758.58 | $831.76 |
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 $630.96 Median $724.44 Typical High $1,174.90 | Professional | None | $630.96 | $724.44 | $1,174.90 |
Cigna Setting Facility Modifier None Typical Low $691.83 Median $851.14 Typical High $1,412.54 | Facility | None | $691.83 | $851.14 | $1,412.54 |
Cigna Setting Professional Modifier None Typical Low $537.03 Median $676.08 Typical High $1,122.02 | Professional | None | $537.03 | $676.08 | $1,122.02 |
Hometown Health Setting Professional Modifier None Typical Low $457.09 Median $741.31 Typical High $1,148.15 | Professional | None | $457.09 | $741.31 | $1,148.15 |
Hometown Health Setting Facility Modifier None Typical Low $691.83 Median $691.83 Typical High $691.83 | Facility | None | $691.83 | $691.83 | $691.83 |
Hometown Health Setting Professional Modifier None Typical Low $6.03 Median $851.14 Typical High $1,202.26 | Professional | None | $6.03 | $851.14 | $1,202.26 |
Select Health Setting Facility Modifier None Typical Low $562.34 Median $794.33 Typical High $4,265.80 | Facility | None | $562.34 | $794.33 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $446.68 Median $707.95 Typical High $1,148.15 | Professional | None | $446.68 | $707.95 | $1,148.15 |
United Setting Facility Modifier None Typical Low $467.74 Median $724.44 Typical High $2,884.03 | Facility | None | $467.74 | $724.44 | $2,884.03 |
United Setting Professional Modifier None Typical Low $588.84 Median $758.58 Typical High $1,122.02 | Professional | None | $588.84 | $758.58 | $1,122.02 |
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 $302.00 Median $363.08 Typical High $416.87 | Professional | 52 · Reduced service | $302.00 | $363.08 | $416.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $123.03 Median $144.54 Typical High $165.96 | Professional | 53 · Discontinued | $123.03 | $144.54 | $165.96 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $457.09 Median $549.54 Typical High $616.60 | Professional | 54 · Surgery only | $457.09 | $549.54 | $616.60 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $91.20 Median $109.65 Typical High $123.03 | Professional | 55 · Aftercare only | $91.20 | $109.65 | $123.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $61.66 Median $72.44 Typical High $83.18 | Professional | 56 · Pre-op care only | $61.66 | $72.44 | $83.18 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $426.58 Median $512.86 Typical High $575.44 | Professional | 78 · Unplanned return to OR | $426.58 | $512.86 | $575.44 |
Where Nevada sits
The same service costs 5.6 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
$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.