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 $1,122.02 Median $2,570.40 Typical High $6,165.95 | Facility | None | $1,122.02 | $2,570.40 | $6,165.95 |
Aetna Setting Professional Modifier None Typical Low $1,023.29 Median $1,023.29 Typical High $1,122.02 | Professional | None | $1,023.29 | $1,023.29 | $1,122.02 |
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 $1,047.13 Median $1,202.26 Typical High $1,905.46 | Professional | None | $1,047.13 | $1,202.26 | $1,905.46 |
Cigna Setting Facility Modifier None Typical Low $691.83 Median $4,073.80 Typical High $5,888.44 | Facility | None | $691.83 | $4,073.80 | $5,888.44 |
Cigna Setting Professional Modifier None Typical Low $851.14 Median $870.96 Typical High $1,548.82 | Professional | None | $851.14 | $870.96 | $1,548.82 |
Hometown Health Setting Professional Modifier None Typical Low $13.18 Median $933.25 Typical High $1,621.81 | Professional | None | $13.18 | $933.25 | $1,621.81 |
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 $10.00 Median $10.00 Typical High $1,445.44 | Professional | None | $10.00 | $10.00 | $1,445.44 |
Select Health Setting Facility Modifier None Typical Low $954.99 Median $954.99 Typical High $4,265.80 | Facility | None | $954.99 | $954.99 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $776.25 Median $954.99 Typical High $1,949.84 | Professional | None | $776.25 | $954.99 | $1,949.84 |
United Setting Facility Modifier None Typical Low $1,905.46 Median $3,090.30 Typical High $7,244.36 | Facility | None | $1,905.46 | $3,090.30 | $7,244.36 |
United Setting Professional Modifier None Typical Low $851.14 Median $1,071.52 Typical High $1,584.89 | Professional | None | $851.14 | $1,071.52 | $1,584.89 |
4 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 $758.58 Median $758.58 Typical High $831.76 | Professional | 54 · Surgery only | $758.58 | $758.58 | $831.76 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $151.36 Median $151.36 Typical High $169.82 | Professional | 55 · Aftercare only | $151.36 | $151.36 | $169.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $102.33 Median $102.33 Typical High $112.20 | Professional | 56 · Pre-op care only | $102.33 | $102.33 | $112.20 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $707.95 Median $707.95 Typical High $776.25 | Professional | 78 · Unplanned return to OR | $707.95 | $707.95 | $776.25 |
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· 37th of 51
$1,175
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.