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 $1,621.81 Median $3,981.07 Typical High $8,128.31 | Facility | None | $1,621.81 | $3,981.07 | $8,128.31 |
Aetna Setting Professional Modifier None Typical Low $1,479.11 Median $1,479.11 Typical High $1,621.81 | Professional | None | $1,479.11 | $1,479.11 | $1,621.81 |
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 $1,513.56 Median $1,737.80 Typical High $2,818.38 | Professional | None | $1,513.56 | $1,737.80 | $2,818.38 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $1,819.70 Typical High $2,511.89 | Facility | None | $741.31 | $1,819.70 | $2,511.89 |
Cigna Setting Professional Modifier None Typical Low $891.25 Median $1,258.93 Typical High $2,187.76 | Professional | None | $891.25 | $1,258.93 | $2,187.76 |
Hometown Health Setting Professional Modifier None Typical Low $10.47 Median $1,230.27 Typical High $2,137.96 | Professional | None | $10.47 | $1,230.27 | $2,137.96 |
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 $7.76 Median $7.76 Typical High $2,041.74 | Professional | None | $7.76 | $7.76 | $2,041.74 |
Select Health Setting Facility Modifier None Typical Low $1,348.96 Median $1,348.96 Typical High $4,265.80 | Facility | None | $1,348.96 | $1,348.96 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $1,096.48 Median $1,348.96 Typical High $2,754.23 | Professional | None | $1,096.48 | $1,348.96 | $2,754.23 |
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 $812.83 Median $1,258.93 Typical High $2,089.30 | Professional | None | $812.83 | $1,258.93 | $2,089.30 |
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 $741.31 Median $741.31 Typical High $812.83 | Professional | 52 · Reduced service | $741.31 | $741.31 | $812.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $295.12 Median $295.12 Typical High $323.59 | Professional | 53 · Discontinued | $295.12 | $295.12 | $323.59 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,122.02 Median $1,122.02 Typical High $1,230.27 | Professional | 54 · Surgery only | $1,122.02 | $1,122.02 | $1,230.27 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $223.87 Median $223.87 Typical High $245.47 | Professional | 55 · Aftercare only | $223.87 | $223.87 | $245.47 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $147.91 Median $147.91 Typical High $162.18 | Professional | 56 · Pre-op care only | $147.91 | $147.91 | $162.18 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,047.13 Median $1,047.13 Typical High $1,148.15 | Professional | 78 · Unplanned return to OR | $1,047.13 | $1,047.13 | $1,148.15 |
Where Nevada sits
The same service costs 8.5 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· 41st of 51
$1,585
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.