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 $1,023.29 Median $3,162.28 Typical High $7,244.36 | Facility | None | $1,023.29 | $3,162.28 | $7,244.36 |
Aetna Setting Professional Modifier None Typical Low $933.25 Median $933.25 Typical High $1,023.29 | Professional | None | $933.25 | $933.25 | $1,023.29 |
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 $954.99 Median $1,096.48 Typical High $1,737.80 | Professional | None | $954.99 | $1,096.48 | $1,737.80 |
Cigna Setting Facility Modifier None Typical Low $724.44 Median $1,819.70 Typical High $2,511.89 | Facility | None | $724.44 | $1,819.70 | $2,511.89 |
Cigna Setting Professional Modifier None Typical Low $660.69 Median $977.24 Typical High $1,659.59 | Professional | None | $660.69 | $977.24 | $1,659.59 |
Hometown Health Setting Professional Modifier None Typical Low $14.45 Median $794.33 Typical High $1,513.56 | Professional | None | $14.45 | $794.33 | $1,513.56 |
Hometown Health Setting Facility Modifier None Typical Low $1,698.24 Median $1,698.24 Typical High $1,698.24 | Facility | None | $1,698.24 | $1,698.24 | $1,698.24 |
Hometown Health Setting Professional Modifier None Typical Low $10.72 Median $10.72 Typical High $1,288.25 | Professional | None | $10.72 | $10.72 | $1,288.25 |
Select Health Setting Facility Modifier None Typical Low $870.96 Median $870.96 Typical High $4,265.80 | Facility | None | $870.96 | $870.96 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $691.83 Median $870.96 Typical High $1,778.28 | Professional | None | $691.83 | $870.96 | $1,778.28 |
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 $891.25 Median $1,023.29 Typical High $1,659.59 | Professional | None | $891.25 | $1,023.29 | $1,659.59 |
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 $467.74 Median $467.74 Typical High $512.86 | Professional | 52 · Reduced service | $467.74 | $467.74 | $512.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $186.21 Median $186.21 Typical High $204.17 | Professional | 53 · Discontinued | $186.21 | $186.21 | $204.17 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $691.83 Median $691.83 Typical High $758.58 | Professional | 54 · Surgery only | $691.83 | $691.83 | $758.58 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $138.04 Median $138.04 Typical High $151.36 | Professional | 55 · Aftercare only | $138.04 | $138.04 | $151.36 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $93.33 Median $93.33 Typical High $102.33 | Professional | 56 · Pre-op care only | $93.33 | $93.33 | $102.33 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $645.65 Median $645.65 Typical High $707.95 | Professional | 78 · Unplanned return to OR | $645.65 | $645.65 | $707.95 |
Where Nevada sits
The same service costs 16.2 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· 37th of 51
$1,072
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.