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 $1,047.13 Median $3,162.28 Typical High $7,244.36 | Facility | None | $1,047.13 | $3,162.28 | $7,244.36 |
Aetna Setting Professional Modifier None Typical Low $954.99 Median $954.99 Typical High $1,047.13 | Professional | None | $954.99 | $954.99 | $1,047.13 |
Anthem BCBS Setting Facility Modifier None Typical Low $4,570.88 Median $7,762.47 Typical High $10,715.19 | Facility | None | $4,570.88 | $7,762.47 | $10,715.19 |
Anthem BCBS Setting Professional Modifier None Typical Low $977.24 Median $1,122.02 Typical High $1,778.28 | Professional | None | $977.24 | $1,122.02 | $1,778.28 |
Cigna Setting Facility Modifier None Typical Low $1,318.26 Median $4,073.80 Typical High $5,623.41 | Facility | None | $1,318.26 | $4,073.80 | $5,623.41 |
Cigna Setting Professional Modifier None Typical Low $707.95 Median $812.83 Typical High $1,412.54 | Professional | None | $707.95 | $812.83 | $1,412.54 |
Hometown Health Setting Professional Modifier None Typical Low $12.02 Median $794.33 Typical High $1,513.56 | Professional | None | $12.02 | $794.33 | $1,513.56 |
Hometown Health Setting Facility Modifier None Typical Low $3,890.45 Median $3,890.45 Typical High $3,890.45 | Facility | None | $3,890.45 | $3,890.45 | $3,890.45 |
Hometown Health Setting Professional Modifier None Typical Low $8.91 Median $8.91 Typical High $1,318.26 | Professional | None | $8.91 | $8.91 | $1,318.26 |
Select Health Setting Facility Modifier None Typical Low $891.25 Median $891.25 Typical High $4,265.80 | Facility | None | $891.25 | $891.25 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $707.95 Median $891.25 Typical High $1,819.70 | Professional | None | $707.95 | $891.25 | $1,819.70 |
United Setting Facility Modifier None Typical Low $1,621.81 Median $2,398.83 Typical High $6,165.95 | Facility | None | $1,621.81 | $2,398.83 | $6,165.95 |
United Setting Professional Modifier None Typical Low $831.76 Median $1,000.00 Typical High $1,513.56 | Professional | None | $831.76 | $1,000.00 | $1,513.56 |
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 $707.95 Median $707.95 Typical High $776.25 | Professional | 54 · Surgery only | $707.95 | $707.95 | $776.25 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $660.69 Median $660.69 Typical High $724.44 | Professional | 78 · Unplanned return to OR | $660.69 | $660.69 | $724.44 |
Where Nevada sits
The same service costs 7.6 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
$1,096
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.