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 $3,162.28 Typical High $7,244.36 | Facility | None | $707.95 | $3,162.28 | $7,244.36 |
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 $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 $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 $3,890.45 Typical High $5,495.41 | Facility | None | $691.83 | $3,890.45 | $5,495.41 |
Cigna Setting Professional Modifier None Typical Low $549.54 Median $575.44 Typical High $1,071.52 | Professional | None | $549.54 | $575.44 | $1,071.52 |
Hometown Health Setting Professional Modifier None Typical Low $11.22 Median $588.84 Typical High $1,071.52 | Professional | None | $11.22 | $588.84 | $1,071.52 |
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 $8.51 Median $8.51 Typical High $933.25 | Professional | None | $8.51 | $8.51 | $933.25 |
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 $1,258.93 | Professional | None | $489.78 | $616.60 | $1,258.93 |
United Setting Facility Modifier None Typical Low $1,174.90 Median $1,698.24 Typical High $4,073.80 | Facility | None | $1,174.90 | $1,698.24 | $4,073.80 |
United Setting Professional Modifier None Typical Low $575.44 Median $676.08 Typical High $1,023.29 | Professional | None | $575.44 | $676.08 | $1,023.29 |
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 $478.63 Median $478.63 Typical High $537.03 | Professional | 54 · Surgery only | $478.63 | $478.63 | $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 $446.68 Median $446.68 Typical High $501.19 | Professional | 78 · Unplanned return to OR | $446.68 | $446.68 | $501.19 |
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· 35th 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.