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 $1,348.96 Median $2,570.40 Typical High $6,165.95 | Facility | None | $1,348.96 | $2,570.40 | $6,165.95 |
Aetna Setting Professional Modifier None Typical Low $1,230.27 Median $1,230.27 Typical High $1,348.96 | Professional | None | $1,230.27 | $1,230.27 | $1,348.96 |
Anthem BCBS Setting Facility Modifier None Typical Low $4,897.79 Median $8,128.31 Typical High $11,220.18 | Facility | None | $4,897.79 | $8,128.31 | $11,220.18 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,258.93 Median $1,445.44 Typical High $2,344.23 | Professional | None | $1,258.93 | $1,445.44 | $2,344.23 |
Cigna Setting Facility Modifier None Typical Low $691.83 Median $9,120.11 Typical High $13,182.57 | Facility | None | $691.83 | $9,120.11 | $13,182.57 |
Cigna Setting Professional Modifier None Typical Low $1,023.29 Median $1,071.52 Typical High $1,862.09 | Professional | None | $1,023.29 | $1,071.52 | $1,862.09 |
Hometown Health Setting Professional Modifier None Typical Low $15.85 Median $1,148.15 Typical High $1,949.84 | Professional | None | $15.85 | $1,148.15 | $1,949.84 |
Hometown Health Setting Facility Modifier None Typical Low $8,912.51 Median $8,912.51 Typical High $8,912.51 | Facility | None | $8,912.51 | $8,912.51 | $8,912.51 |
Hometown Health Setting Professional Modifier None Typical Low $11.75 Median $11.75 Typical High $1,737.80 | Professional | None | $11.75 | $11.75 | $1,737.80 |
Select Health Setting Facility Modifier None Typical Low $1,148.15 Median $1,148.15 Typical High $4,265.80 | Facility | None | $1,148.15 | $1,148.15 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $933.25 Median $1,148.15 Typical High $2,344.23 | Professional | None | $933.25 | $1,148.15 | $2,344.23 |
United Setting Facility Modifier None Typical Low $1,905.46 Median $3,090.30 Typical High $11,481.54 | Facility | None | $1,905.46 | $3,090.30 | $11,481.54 |
United Setting Professional Modifier None Typical Low $1,023.29 Median $1,288.25 Typical High $1,949.84 | Professional | None | $1,023.29 | $1,288.25 | $1,949.84 |
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 $933.25 Median $933.25 Typical High $1,023.29 | Professional | 54 · Surgery only | $933.25 | $933.25 | $1,023.29 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $186.21 Median $186.21 Typical High $204.17 | Professional | 55 · Aftercare only | $186.21 | $186.21 | $204.17 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $123.03 Median $123.03 Typical High $134.90 | Professional | 56 · Pre-op care only | $123.03 | $123.03 | $134.90 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $870.96 Median $870.96 Typical High $954.99 | Professional | 78 · Unplanned return to OR | $870.96 | $870.96 | $954.99 |
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· 37th of 51
$1,445
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.