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 $724.44 Median $3,981.07 Typical High $8,128.31 | Facility | None | $724.44 | $3,981.07 | $8,128.31 |
Aetna Setting Professional Modifier None Typical Low $660.69 Median $660.69 Typical High $724.44 | Professional | None | $660.69 | $660.69 | $724.44 |
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 $676.08 Median $776.25 Typical High $1,258.93 | Professional | None | $676.08 | $776.25 | $1,258.93 |
Cigna Setting Facility Modifier None Typical Low $794.33 Median $3,890.45 Typical High $5,495.41 | Facility | None | $794.33 | $3,890.45 | $5,495.41 |
Cigna Setting Professional Modifier None Typical Low $562.34 Median $588.84 Typical High $1,047.13 | Professional | None | $562.34 | $588.84 | $1,047.13 |
Hometown Health Setting Professional Modifier None Typical Low $10.47 Median $602.56 Typical High $1,096.48 | Professional | None | $10.47 | $602.56 | $1,096.48 |
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 $7.76 Median $7.76 Typical High $954.99 | Professional | None | $7.76 | $7.76 | $954.99 |
Select Health Setting Facility Modifier None Typical Low $630.96 Median $630.96 Typical High $4,265.80 | Facility | None | $630.96 | $630.96 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $501.19 Median $630.96 Typical High $1,288.25 | Professional | None | $501.19 | $630.96 | $1,288.25 |
United Setting Facility Modifier None Typical Low $1,174.90 Median $1,698.24 Typical High $4,073.80 | Facility | None | $1,174.90 | $1,698.24 | $4,073.80 |
United Setting Professional Modifier None Typical Low $588.84 Median $691.83 Typical High $1,047.13 | Professional | None | $588.84 | $691.83 | $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 $331.13 Median $331.13 Typical High $363.08 | Professional | 52 · Reduced service | $331.13 | $331.13 | $363.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $131.83 Median $131.83 Typical High $144.54 | Professional | 53 · Discontinued | $131.83 | $131.83 | $144.54 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $489.78 Median $489.78 Typical High $549.54 | Professional | 54 · Surgery only | $489.78 | $489.78 | $549.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $100.00 Median $100.00 Typical High $109.65 | Professional | 55 · Aftercare only | $100.00 | $100.00 | $109.65 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $66.07 Median $66.07 Typical High $72.44 | Professional | 56 · Pre-op care only | $66.07 | $66.07 | $72.44 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $457.09 Median $457.09 Typical High $512.86 | Professional | 78 · Unplanned return to OR | $457.09 | $457.09 | $512.86 |
Where Nevada sits
The same service costs 7.8 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
$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.