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 $707.95 Median $3,981.07 Typical High $8,128.31 | Facility | None | $707.95 | $3,981.07 | $8,128.31 |
Aetna Setting Professional Modifier None Typical Low $645.65 Median $645.65 Typical High $707.95 | Professional | None | $645.65 | $645.65 | $707.95 |
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 $660.69 Median $758.58 Typical High $1,230.27 | Professional | None | $660.69 | $758.58 | $1,230.27 |
Cigna Setting Facility Modifier None Typical Low $691.83 Median $1,819.70 Typical High $2,511.89 | Facility | None | $691.83 | $1,819.70 | $2,511.89 |
Cigna Setting Professional Modifier None Typical Low $467.74 Median $562.34 Typical High $977.24 | Professional | None | $467.74 | $562.34 | $977.24 |
Hometown Health Setting Professional Modifier None Typical Low $8.71 Median $602.56 Typical High $1,047.13 | Professional | None | $8.71 | $602.56 | $1,047.13 |
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 $6.61 Median $6.61 Typical High $912.01 | Professional | None | $6.61 | $6.61 | $912.01 |
Select Health Setting Facility Modifier None Typical Low $616.60 Median $616.60 Typical High $4,265.80 | Facility | None | $616.60 | $616.60 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $489.78 Median $616.60 Typical High $1,230.27 | Professional | None | $489.78 | $616.60 | $1,230.27 |
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 $338.84 Median $676.08 Typical High $1,047.13 | Professional | None | $338.84 | $676.08 | $1,047.13 |
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 $323.59 Median $323.59 Typical High $354.81 | Professional | 52 · Reduced service | $323.59 | $323.59 | $354.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $128.82 Median $128.82 Typical High $141.25 | Professional | 53 · Discontinued | $128.82 | $128.82 | $141.25 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $489.78 Median $489.78 Typical High $537.03 | Professional | 54 · Surgery only | $489.78 | $489.78 | $537.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $97.72 Median $97.72 Typical High $107.15 | Professional | 55 · Aftercare only | $97.72 | $97.72 | $107.15 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $64.57 Median $64.57 Typical High $70.79 | Professional | 56 · Pre-op care only | $64.57 | $64.57 | $70.79 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $457.09 Median $457.09 Typical High $501.19 | Professional | 78 · Unplanned return to OR | $457.09 | $457.09 | $501.19 |
Where Nevada sits
The same service costs 16.6 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· 36th of 51
$759
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.