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 $616.60 Median $3,162.28 Typical High $10,715.19 | Facility | None | $616.60 | $3,162.28 | $10,715.19 |
Aetna Setting Professional Modifier None Typical Low $457.09 Median $616.60 Typical High $676.08 | Professional | None | $457.09 | $616.60 | $676.08 |
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 $478.63 Median $549.54 Typical High $870.96 | Professional | None | $478.63 | $549.54 | $870.96 |
Cigna Setting Facility Modifier None Typical Low $724.44 Median $1,819.70 Typical High $2,511.89 | Facility | None | $724.44 | $1,819.70 | $2,511.89 |
Cigna Setting Professional Modifier None Typical Low $407.38 Median $562.34 Typical High $977.24 | Professional | None | $407.38 | $562.34 | $977.24 |
Hometown Health Setting Professional Modifier None Typical Low $331.13 Median $549.54 Typical High $1,148.15 | Professional | None | $331.13 | $549.54 | $1,148.15 |
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 $7.24 Median $676.08 Typical High $2,570.40 | Professional | None | $7.24 | $676.08 | $2,570.40 |
Select Health Setting Facility Modifier None Typical Low $446.68 Median $645.65 Typical High $4,265.80 | Facility | None | $446.68 | $645.65 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $354.81 Median $562.34 Typical High $912.01 | Professional | None | $354.81 | $562.34 | $912.01 |
United Setting Facility Modifier None Typical Low $954.99 Median $1,318.26 Typical High $3,311.31 | Facility | None | $954.99 | $1,318.26 | $3,311.31 |
United Setting Professional Modifier None Typical Low $467.74 Median $630.96 Typical High $977.24 | Professional | None | $467.74 | $630.96 | $977.24 |
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 $229.09 Median $295.12 Typical High $338.84 | Professional | 52 · Reduced service | $229.09 | $295.12 | $338.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $91.20 Median $120.23 Typical High $134.90 | Professional | 53 · Discontinued | $91.20 | $120.23 | $134.90 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $346.74 Median $446.68 Typical High $501.19 | Professional | 54 · Surgery only | $346.74 | $446.68 | $501.19 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $69.18 Median $89.13 Typical High $100.00 | Professional | 55 · Aftercare only | $69.18 | $89.13 | $100.00 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $45.71 Median $60.26 Typical High $67.61 | Professional | 56 · Pre-op care only | $45.71 | $60.26 | $67.61 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $323.59 Median $416.87 Typical High $467.74 | Professional | 78 · Unplanned return to OR | $323.59 | $416.87 | $467.74 |
Where Nevada sits
The same service costs 5.8 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· 40th of 51
$617
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.