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 $891.25 Median $3,162.28 Typical High $7,244.36 | Facility | None | $891.25 | $3,162.28 | $7,244.36 |
Aetna Setting Professional Modifier None Typical Low $812.83 Median $812.83 Typical High $891.25 | Professional | None | $812.83 | $812.83 | $891.25 |
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 $831.76 Median $954.99 Typical High $1,513.56 | Professional | None | $831.76 | $954.99 | $1,513.56 |
Cigna Setting Facility Modifier None Typical Low $724.44 Median $3,890.45 Typical High $5,495.41 | Facility | None | $724.44 | $3,890.45 | $5,495.41 |
Cigna Setting Professional Modifier None Typical Low $691.83 Median $691.83 Typical High $1,412.54 | Professional | None | $691.83 | $691.83 | $1,412.54 |
Hometown Health Setting Professional Modifier None Typical Low $13.18 Median $741.31 Typical High $1,318.26 | Professional | None | $13.18 | $741.31 | $1,318.26 |
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 $10.00 Median $10.00 Typical High $1,148.15 | Professional | None | $10.00 | $10.00 | $1,148.15 |
Select Health Setting Facility Modifier None Typical Low $776.25 Median $776.25 Typical High $4,265.80 | Facility | None | $776.25 | $776.25 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $616.60 Median $776.25 Typical High $1,548.82 | Professional | None | $616.60 | $776.25 | $1,548.82 |
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 $707.95 Median $851.14 Typical High $1,258.93 | Professional | None | $707.95 | $851.14 | $1,258.93 |
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 $407.38 Median $407.38 Typical High $446.68 | Professional | 52 · Reduced service | $407.38 | $407.38 | $446.68 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $162.18 Median $162.18 Typical High $177.83 | Professional | 53 · Discontinued | $162.18 | $162.18 | $177.83 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $602.56 Median $602.56 Typical High $660.69 | Professional | 54 · Surgery only | $602.56 | $602.56 | $660.69 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $120.23 Median $120.23 Typical High $131.83 | Professional | 55 · Aftercare only | $120.23 | $120.23 | $131.83 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $81.28 Median $81.28 Typical High $89.13 | Professional | 56 · Pre-op care only | $81.28 | $81.28 | $89.13 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $562.34 Median $562.34 Typical High $616.60 | Professional | 78 · Unplanned return to OR | $562.34 | $562.34 | $616.60 |
Where Nevada sits
The same service costs 7.6 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· 35th of 51
$933
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.