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 $1,479.11 Median $3,981.07 Typical High $8,128.31 | Facility | None | $1,479.11 | $3,981.07 | $8,128.31 |
Aetna Setting Professional Modifier None Typical Low $1,348.96 Median $1,348.96 Typical High $1,479.11 | Professional | None | $1,348.96 | $1,348.96 | $1,479.11 |
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 $1,380.38 Median $1,584.89 Typical High $2,570.40 | Professional | None | $1,380.38 | $1,584.89 | $2,570.40 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $5,128.61 Typical High $7,079.46 | Facility | None | $741.31 | $5,128.61 | $7,079.46 |
Cigna Setting Professional Modifier None Typical Low $1,174.90 Median $1,202.26 Typical High $2,187.76 | Professional | None | $1,174.90 | $1,202.26 | $2,187.76 |
Hometown Health Setting Professional Modifier None Typical Low $18.20 Median $1,148.15 Typical High $2,137.96 | Professional | None | $18.20 | $1,148.15 | $2,137.96 |
Hometown Health Setting Facility Modifier None Typical Low $4,897.79 Median $4,897.79 Typical High $4,897.79 | Facility | None | $4,897.79 | $4,897.79 | $4,897.79 |
Hometown Health Setting Professional Modifier None Typical Low $13.80 Median $13.80 Typical High $1,862.09 | Professional | None | $13.80 | $13.80 | $1,862.09 |
Select Health Setting Facility Modifier None Typical Low $1,230.27 Median $1,230.27 Typical High $4,265.80 | Facility | None | $1,230.27 | $1,230.27 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $1,000.00 Median $1,230.27 Typical High $2,511.89 | Professional | None | $1,000.00 | $1,230.27 | $2,511.89 |
United Setting Facility Modifier None Typical Low $1,905.46 Median $3,019.95 Typical High $6,456.54 | Facility | None | $1,905.46 | $3,019.95 | $6,456.54 |
United Setting Professional Modifier None Typical Low $1,174.90 Median $1,412.54 Typical High $2,137.96 | Professional | None | $1,174.90 | $1,412.54 | $2,137.96 |
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 $676.08 Median $676.08 Typical High $741.31 | Professional | 52 · Reduced service | $676.08 | $676.08 | $741.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $269.15 Median $269.15 Typical High $295.12 | Professional | 53 · Discontinued | $269.15 | $269.15 | $295.12 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,023.29 Median $1,023.29 Typical High $1,122.02 | Professional | 54 · Surgery only | $1,023.29 | $1,023.29 | $1,122.02 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $204.17 Median $204.17 Typical High $223.87 | Professional | 55 · Aftercare only | $204.17 | $204.17 | $223.87 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $134.90 Median $134.90 Typical High $147.91 | Professional | 56 · Pre-op care only | $134.90 | $134.90 | $147.91 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $954.99 Median $954.99 Typical High $1,047.13 | Professional | 78 · Unplanned return to OR | $954.99 | $954.99 | $1,047.13 |
Where Nevada sits
The same service costs 18.6 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· 37th of 51
$1,585
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.