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 $2,238.72 Median $2,238.72 Typical High $2,454.71 | Professional | None | $2,238.72 | $2,238.72 | $2,454.71 |
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 $2,238.72 Median $2,570.40 Typical High $3,981.07 | Professional | None | $2,238.72 | $2,570.40 | $3,981.07 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $4,073.80 Typical High $5,888.44 | Facility | None | $741.31 | $4,073.80 | $5,888.44 |
Cigna Setting Professional Modifier None Typical Low $1,318.26 Median $1,737.80 Typical High $3,090.30 | Professional | None | $1,318.26 | $1,737.80 | $3,090.30 |
Hometown Health Setting Professional Modifier None Typical Low $28.18 Median $1,862.09 Typical High $3,548.13 | Professional | None | $28.18 | $1,862.09 | $3,548.13 |
Hometown Health Setting Facility Modifier None Typical Low $3,890.45 Median $3,890.45 Typical High $3,890.45 | Facility | None | $3,890.45 | $3,890.45 | $3,890.45 |
Hometown Health Setting Professional Modifier None Typical Low $20.89 Median $20.89 Typical High $3,235.94 | Professional | None | $20.89 | $20.89 | $3,235.94 |
Select Health Setting Facility Modifier None Typical Low $2,137.96 Median $2,137.96 Typical High $4,265.80 | Facility | None | $2,137.96 | $2,137.96 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $1,698.24 Median $2,137.96 Typical High $5,495.41 | Professional | None | $1,698.24 | $2,137.96 | $5,495.41 |
United Setting Facility Modifier None Typical Low $1,905.46 Median $3,019.95 Typical High $6,456.54 | Facility | None | $1,905.46 | $3,019.95 | $6,456.54 |
United Setting Professional Modifier None Typical Low $1,348.96 Median $2,187.76 Typical High $3,162.28 | Professional | None | $1,348.96 | $2,187.76 | $3,162.28 |
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 $1,698.24 Median $1,698.24 Typical High $1,862.09 | Professional | 54 · Surgery only | $1,698.24 | $1,698.24 | $1,862.09 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,584.89 Median $1,584.89 Typical High $1,737.80 | Professional | 78 · Unplanned return to OR | $1,584.89 | $1,584.89 | $1,737.80 |
Where Nevada sits
The same service costs 9.1 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· 39th of 51
$2,344
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.