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 $2,238.72 Median $4,466.84 Typical High $8,128.31 | Facility | None | $2,238.72 | $4,466.84 | $8,128.31 |
Aetna Setting Professional Modifier None Typical Low $2,290.87 Median $2,290.87 Typical High $2,570.40 | Professional | None | $2,290.87 | $2,290.87 | $2,570.40 |
Anthem BCBS Setting Facility Modifier None Typical Low $4,570.88 Median $7,762.47 Typical High $10,715.19 | Facility | None | $4,570.88 | $7,762.47 | $10,715.19 |
Anthem BCBS Setting Professional Modifier None Typical Low $2,290.87 Median $2,630.27 Typical High $4,073.80 | Professional | None | $2,290.87 | $2,630.27 | $4,073.80 |
Cigna Setting Facility Modifier None Typical Low $691.83 Median $12,882.50 Typical High $17,378.01 | Facility | None | $691.83 | $12,882.50 | $17,378.01 |
Cigna Setting Professional Modifier None Typical Low $1,584.89 Median $1,698.24 Typical High $3,162.28 | Professional | None | $1,584.89 | $1,698.24 | $3,162.28 |
Hometown Health Setting Professional Modifier None Typical Low $25.70 Median $1,949.84 Typical High $3,715.35 | Professional | None | $25.70 | $1,949.84 | $3,715.35 |
Hometown Health Setting Facility Modifier None Typical Low $12,302.69 Median $12,302.69 Typical High $12,302.69 | Facility | None | $12,302.69 | $12,302.69 | $12,302.69 |
Hometown Health Setting Professional Modifier None Typical Low $19.05 Median $19.05 Typical High $3,235.94 | Professional | None | $19.05 | $19.05 | $3,235.94 |
Select Health Setting Facility Modifier None Typical Low $2,187.76 Median $2,187.76 Typical High $4,265.80 | Facility | None | $2,187.76 | $2,187.76 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $1,737.80 Median $2,187.76 Typical High $5,623.41 | Professional | None | $1,737.80 | $2,187.76 | $5,623.41 |
United Setting Facility Modifier None Typical Low $2,570.40 Median $5,128.61 Typical High $10,964.78 | Facility | None | $2,570.40 | $5,128.61 | $10,964.78 |
United Setting Professional Modifier None Typical Low $1,548.82 Median $2,290.87 Typical High $3,235.94 | Professional | None | $1,548.82 | $2,290.87 | $3,235.94 |
2 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 54 · Surgery only Typical Low $1,737.80 Median $1,737.80 Typical High $1,905.46 | Professional | 54 · Surgery only | $1,737.80 | $1,737.80 | $1,905.46 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,621.81 Median $1,621.81 Typical High $1,778.28 | Professional | 78 · Unplanned return to OR | $1,621.81 | $1,621.81 | $1,778.28 |
Where Nevada sits
The same service costs 8.1 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· 36th of 51
$2,512
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.