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 $2,570.40 Typical High $6,165.95 | Facility | None | $1,621.81 | $2,570.40 | $6,165.95 |
Aetna Setting Professional Modifier None Typical Low $1,621.81 Median $1,621.81 Typical High $1,778.28 | Professional | None | $1,621.81 | $1,621.81 | $1,778.28 |
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 $1,659.59 Median $1,905.46 Typical High $3,019.95 | Professional | None | $1,659.59 | $1,905.46 | $3,019.95 |
Cigna Setting Facility Modifier None Typical Low $691.83 Median $4,073.80 Typical High $6,606.93 | Facility | None | $691.83 | $4,073.80 | $6,606.93 |
Cigna Setting Professional Modifier None Typical Low $1,380.38 Median $1,412.54 Typical High $2,454.71 | Professional | None | $1,380.38 | $1,412.54 | $2,454.71 |
Hometown Health Setting Professional Modifier None Typical Low $21.38 Median $1,479.11 Typical High $2,511.89 | Professional | None | $21.38 | $1,479.11 | $2,511.89 |
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 $16.22 Median $16.22 Typical High $2,238.72 | Professional | None | $16.22 | $16.22 | $2,238.72 |
Select Health Setting Facility Modifier None Typical Low $1,479.11 Median $1,479.11 Typical High $4,265.80 | Facility | None | $1,479.11 | $1,479.11 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $1,174.90 Median $1,479.11 Typical High $3,019.95 | Professional | None | $1,174.90 | $1,479.11 | $3,019.95 |
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 $1,380.38 Median $1,698.24 Typical High $2,570.40 | Professional | None | $1,380.38 | $1,698.24 | $2,570.40 |
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 $1,202.26 Median $1,202.26 Typical High $1,318.26 | Professional | 54 · Surgery only | $1,202.26 | $1,202.26 | $1,318.26 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $239.88 Median $239.88 Typical High $269.15 | Professional | 55 · Aftercare only | $239.88 | $239.88 | $269.15 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $162.18 Median $162.18 Typical High $177.83 | Professional | 56 · Pre-op care only | $162.18 | $162.18 | $177.83 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,122.02 Median $1,122.02 Typical High $1,230.27 | Professional | 78 · Unplanned return to OR | $1,122.02 | $1,122.02 | $1,230.27 |
Where Nevada sits
The same service costs 7.8 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· 37th of 51
$1,862
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.