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 $776.25 Median $3,162.28 Typical High $5,011.87 | Facility | None | $776.25 | $3,162.28 | $5,011.87 |
Aetna Setting Professional Modifier None Typical Low $616.60 Median $776.25 Typical High $851.14 | Professional | None | $616.60 | $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 $645.65 Median $741.31 Typical High $1,202.26 | Professional | None | $645.65 | $741.31 | $1,202.26 |
Cigna Setting Facility Modifier None Typical Low $724.44 Median $3,311.31 Typical High $4,570.88 | Facility | None | $724.44 | $3,311.31 | $4,570.88 |
Cigna Setting Professional Modifier None Typical Low $389.05 Median $645.65 Typical High $1,096.48 | Professional | None | $389.05 | $645.65 | $1,096.48 |
Hometown Health Setting Professional Modifier None Typical Low $19.05 Median $707.95 Typical High $1,348.96 | Professional | None | $19.05 | $707.95 | $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 $11.48 Median $851.14 Typical High $4,786.30 | Professional | None | $11.48 | $851.14 | $4,786.30 |
Select Health Setting Facility Modifier None Typical Low $562.34 Median $741.31 Typical High $4,265.80 | Facility | None | $562.34 | $741.31 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $446.68 Median $676.08 Typical High $1,122.02 | Professional | None | $446.68 | $676.08 | $1,122.02 |
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 $707.95 Typical High $1,047.13 | Professional | None | $512.86 | $707.95 | $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 $309.03 Median $346.74 Typical High $407.38 | Professional | 52 · Reduced service | $309.03 | $346.74 | $407.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $123.03 Median $138.04 Typical High $162.18 | Professional | 53 · Discontinued | $123.03 | $138.04 | $162.18 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $467.74 Median $524.81 Typical High $616.60 | Professional | 54 · Surgery only | $467.74 | $524.81 | $616.60 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $93.33 Median $104.71 Typical High $123.03 | Professional | 55 · Aftercare only | $93.33 | $104.71 | $123.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $61.66 Median $69.18 Typical High $81.28 | Professional | 56 · Pre-op care only | $61.66 | $69.18 | $81.28 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $436.52 Median $489.78 Typical High $575.44 | Professional | 78 · Unplanned return to OR | $436.52 | $489.78 | $575.44 |
Where Nevada sits
The same service costs 6.6 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· 37th of 51
$741
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.