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 $562.34 Median $2,238.72 Typical High $5,128.61 | Facility | None | $562.34 | $2,238.72 | $5,128.61 |
Aetna Setting Professional Modifier None Typical Low $512.86 Median $512.86 Typical High $562.34 | Professional | None | $512.86 | $512.86 | $562.34 |
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 $524.81 Median $602.56 Typical High $977.24 | Professional | None | $524.81 | $602.56 | $977.24 |
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 $302.00 Median $616.60 Typical High $1,047.13 | Professional | None | $302.00 | $616.60 | $1,047.13 |
Hometown Health Setting Professional Modifier None Typical Low $2.40 Median $446.68 Typical High $912.01 | Professional | None | $2.40 | $446.68 | $912.01 |
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 $1.82 Median $1.82 Typical High $724.44 | Professional | None | $1.82 | $1.82 | $724.44 |
Select Health Setting Facility Modifier None Typical Low $489.78 Median $489.78 Typical High $4,265.80 | Facility | None | $489.78 | $489.78 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $389.05 Median $489.78 Typical High $1,000.00 | Professional | None | $389.05 | $489.78 | $1,000.00 |
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 $173.78 Median $645.65 Typical High $1,047.13 | Professional | None | $173.78 | $645.65 | $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 $257.04 Median $257.04 Typical High $281.84 | Professional | 52 · Reduced service | $257.04 | $257.04 | $281.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $102.33 Median $102.33 Typical High $112.20 | Professional | 53 · Discontinued | $102.33 | $102.33 | $112.20 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $380.19 Median $380.19 Typical High $426.58 | Professional | 54 · Surgery only | $380.19 | $380.19 | $426.58 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $77.62 Median $77.62 Typical High $85.11 | Professional | 55 · Aftercare only | $77.62 | $77.62 | $85.11 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $51.29 Median $51.29 Typical High $56.23 | Professional | 56 · Pre-op care only | $51.29 | $51.29 | $56.23 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $354.81 Median $354.81 Typical High $398.11 | Professional | 78 · Unplanned return to OR | $354.81 | $354.81 | $398.11 |
Where Nevada sits
The same service costs 6.6 times more in Alaska than in Utah. 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· 38th of 51
$631
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.