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 $1,071.52 Median $2,570.40 Typical High $6,165.95 | Facility | None | $1,071.52 | $2,570.40 | $6,165.95 |
Aetna Setting Professional Modifier None Typical Low $977.24 Median $977.24 Typical High $1,071.52 | Professional | None | $977.24 | $977.24 | $1,071.52 |
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 $1,000.00 Median $1,148.15 Typical High $1,862.09 | Professional | None | $1,000.00 | $1,148.15 | $1,862.09 |
Cigna Setting Facility Modifier None Typical Low $616.60 Median $3,890.45 Typical High $5,495.41 | Facility | None | $616.60 | $3,890.45 | $5,495.41 |
Cigna Setting Professional Modifier None Typical Low $851.14 Median $977.24 Typical High $1,698.24 | Professional | None | $851.14 | $977.24 | $1,698.24 |
Hometown Health Setting Professional Modifier None Typical Low $12.02 Median $912.01 Typical High $1,548.82 | Professional | None | $12.02 | $912.01 | $1,548.82 |
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 $8.91 Median $8.91 Typical High $1,380.38 | Professional | None | $8.91 | $8.91 | $1,380.38 |
Select Health Setting Facility Modifier None Typical Low $912.01 Median $912.01 Typical High $4,265.80 | Facility | None | $912.01 | $912.01 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $741.31 Median $912.01 Typical High $1,862.09 | Professional | None | $741.31 | $912.01 | $1,862.09 |
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 $933.25 Median $1,071.52 Typical High $1,698.24 | Professional | None | $933.25 | $1,071.52 | $1,698.24 |
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 $489.78 Median $489.78 Typical High $537.03 | Professional | 52 · Reduced service | $489.78 | $489.78 | $537.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $194.98 Median $194.98 Typical High $218.78 | Professional | 53 · Discontinued | $194.98 | $194.98 | $218.78 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $741.31 Median $741.31 Typical High $812.83 | Professional | 54 · Surgery only | $741.31 | $741.31 | $812.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $147.91 Median $147.91 Typical High $162.18 | Professional | 55 · Aftercare only | $147.91 | $147.91 | $162.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $97.72 Median $97.72 Typical High $107.15 | Professional | 56 · Pre-op care only | $97.72 | $97.72 | $107.15 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $691.83 Median $691.83 Typical High $758.58 | Professional | 78 · Unplanned return to OR | $691.83 | $691.83 | $758.58 |
Where Nevada sits
The same service costs 8.3 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
$1,148
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.