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 $2,570.40 Median $3,801.89 Typical High $5,128.61 | Facility | None | $2,570.40 | $3,801.89 | $5,128.61 |
Anthem BCBS Setting Professional Modifier None Typical Low $524.81 Median $602.56 Typical High $954.99 | Professional | None | $524.81 | $602.56 | $954.99 |
Cigna Setting Facility Modifier None Typical Low $537.03 Median $1,047.13 Typical High $1,513.56 | Facility | None | $537.03 | $1,047.13 | $1,513.56 |
Cigna Setting Professional Modifier None Typical Low $363.08 Median $426.58 Typical High $758.58 | Professional | None | $363.08 | $426.58 | $758.58 |
Hometown Health Setting Professional Modifier None Typical Low $7.59 Median $446.68 Typical High $851.14 | Professional | None | $7.59 | $446.68 | $851.14 |
Hometown Health Setting Facility Modifier None Typical Low $1,000.00 Median $1,000.00 Typical High $1,000.00 | Facility | None | $1,000.00 | $1,000.00 | $1,000.00 |
Hometown Health Setting Professional Modifier None Typical Low $5.75 Median $5.75 Typical High $741.31 | Professional | None | $5.75 | $5.75 | $741.31 |
Select Health Setting Facility Modifier None Typical Low $501.19 Median $501.19 Typical High $4,265.80 | Facility | None | $501.19 | $501.19 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $398.11 Median $501.19 Typical High $1,000.00 | Professional | None | $398.11 | $501.19 | $1,000.00 |
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 $371.54 Median $524.81 Typical High $794.33 | Professional | None | $371.54 | $524.81 | $794.33 |
2 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 54 · Surgery only Typical Low $380.19 Median $380.19 Typical High $416.87 | Professional | 54 · Surgery only | $380.19 | $380.19 | $416.87 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $354.81 Median $354.81 Typical High $389.05 | Professional | 78 · Unplanned return to OR | $354.81 | $354.81 | $389.05 |
Where Nevada sits
The same service costs 8.1 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
$575
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.