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 $870.96 Median $2,238.72 Typical High $5,128.61 | Facility | None | $870.96 | $2,238.72 | $5,128.61 |
Aetna Setting Professional Modifier None Typical Low $794.33 Median $794.33 Typical High $870.96 | Professional | None | $794.33 | $794.33 | $870.96 |
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 $812.83 Median $954.99 Typical High $1,445.44 | Professional | None | $812.83 | $954.99 | $1,445.44 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $1,737.80 Typical High $2,454.71 | Facility | None | $501.19 | $1,737.80 | $2,454.71 |
Cigna Setting Professional Modifier None Typical Low $575.44 Median $630.96 Typical High $1,174.90 | Professional | None | $575.44 | $630.96 | $1,174.90 |
Hometown Health Setting Professional Modifier None Typical Low $9.55 Median $707.95 Typical High $1,288.25 | Professional | None | $9.55 | $707.95 | $1,288.25 |
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 $7.24 Median $7.24 Typical High $1,174.90 | Professional | None | $7.24 | $7.24 | $1,174.90 |
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 $630.96 Median $776.25 Typical High $1,584.89 | Professional | None | $630.96 | $776.25 | $1,584.89 |
United Setting Facility Modifier None Typical Low $467.74 Median $724.44 Typical High $2,884.03 | Facility | None | $467.74 | $724.44 | $2,884.03 |
United Setting Professional Modifier None Typical Low $660.69 Median $794.33 Typical High $1,174.90 | Professional | None | $660.69 | $794.33 | $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 $398.11 Median $398.11 Typical High $436.52 | Professional | 52 · Reduced service | $398.11 | $398.11 | $436.52 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $158.49 Median $158.49 Typical High $173.78 | Professional | 53 · Discontinued | $158.49 | $158.49 | $173.78 |
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 $79.43 Median $79.43 Typical High $87.10 | Professional | 56 · Pre-op care only | $79.43 | $79.43 | $87.10 |
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 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· 36th 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.