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 $812.83 Median $2,238.72 Typical High $5,128.61 | Facility | None | $812.83 | $2,238.72 | $5,128.61 |
Aetna Setting Professional Modifier None Typical Low $741.31 Median $741.31 Typical High $812.83 | Professional | None | $741.31 | $741.31 | $812.83 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,754.23 Median $4,466.84 Typical High $5,754.40 | Facility | None | $2,754.23 | $4,466.84 | $5,754.40 |
Anthem BCBS Setting Professional Modifier None Typical Low $758.58 Median $870.96 Typical High $1,412.54 | Professional | None | $758.58 | $870.96 | $1,412.54 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $3,890.45 Typical High $5,495.41 | Facility | None | $501.19 | $3,890.45 | $5,495.41 |
Cigna Setting Professional Modifier None Typical Low $630.96 Median $660.69 Typical High $1,148.15 | Professional | None | $630.96 | $660.69 | $1,148.15 |
Hometown Health Setting Professional Modifier None Typical Low $9.77 Median $676.08 Typical High $1,202.26 | Professional | None | $9.77 | $676.08 | $1,202.26 |
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 $7.24 Median $7.24 Typical High $1,071.52 | Professional | None | $7.24 | $7.24 | $1,071.52 |
Select Health Setting Facility Modifier None Typical Low $707.95 Median $707.95 Typical High $4,265.80 | Facility | None | $707.95 | $707.95 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $575.44 Median $707.95 Typical High $1,445.44 | Professional | None | $575.44 | $707.95 | $1,445.44 |
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 $660.69 Median $776.25 Typical High $1,174.90 | Professional | None | $660.69 | $776.25 | $1,174.90 |
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 $371.54 Median $371.54 Typical High $407.38 | Professional | 52 · Reduced service | $371.54 | $371.54 | $407.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $147.91 Median $147.91 Typical High $162.18 | Professional | 53 · Discontinued | $147.91 | $147.91 | $162.18 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $562.34 Median $562.34 Typical High $616.60 | Professional | 54 · Surgery only | $562.34 | $562.34 | $616.60 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $112.20 Median $112.20 Typical High $123.03 | Professional | 55 · Aftercare only | $112.20 | $112.20 | $123.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $74.13 Median $74.13 Typical High $81.28 | Professional | 56 · Pre-op care only | $74.13 | $74.13 | $81.28 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $524.81 Median $524.81 Typical High $575.44 | Professional | 78 · Unplanned return to OR | $524.81 | $524.81 | $575.44 |
Where Nevada sits
The same service costs 18.2 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· 35th of 51
$871
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.