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 $2,238.72 Median $3,981.07 Typical High $10,715.19 | Facility | None | $2,238.72 | $3,981.07 | $10,715.19 |
Aetna Setting Professional Modifier None Typical Low $2,570.40 Median $2,570.40 Typical High $2,691.53 | Professional | None | $2,570.40 | $2,570.40 | $2,691.53 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,951.21 Median $5,623.41 Typical High $14,454.40 | Facility | None | $2,951.21 | $5,623.41 | $14,454.40 |
Anthem BCBS Setting Professional Modifier None Typical Low $2,398.83 Median $2,884.03 Typical High $5,248.07 | Professional | None | $2,398.83 | $2,884.03 | $5,248.07 |
Cigna Setting Facility Modifier None Typical Low $562.34 Median $912.01 Typical High $6,309.57 | Facility | None | $562.34 | $912.01 | $6,309.57 |
Cigna Setting Professional Modifier None Typical Low $2,041.74 Median $2,041.74 Typical High $3,801.89 | Professional | None | $2,041.74 | $2,041.74 | $3,801.89 |
Hometown Health Setting Professional Modifier None Typical Low $25.12 Median $2,454.71 Typical High $3,548.13 | Professional | None | $25.12 | $2,454.71 | $3,548.13 |
Hometown Health Setting Professional Modifier None Typical Low $21.38 Median $21.38 Typical High $3,162.28 | Professional | None | $21.38 | $21.38 | $3,162.28 |
Select Health Setting Facility Modifier None Typical Low $2,089.30 Median $2,089.30 Typical High $4,265.80 | Facility | None | $2,089.30 | $2,089.30 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $1,862.09 Median $1,862.09 Typical High $1,862.09 | Professional | None | $1,862.09 | $1,862.09 | $1,862.09 |
United Setting Facility Modifier None Typical Low $302.00 Median $794.33 Typical High $2,951.21 | Facility | None | $302.00 | $794.33 | $2,951.21 |
United Setting Professional Modifier None Typical Low $2,041.74 Median $2,570.40 Typical High $3,801.89 | Professional | None | $2,041.74 | $2,570.40 | $3,801.89 |
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 $1,258.93 Median $1,258.93 Typical High $1,348.96 | Professional | 52 · Reduced service | $1,258.93 | $1,258.93 | $1,348.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $512.86 Median $512.86 Typical High $537.03 | Professional | 53 · Discontinued | $512.86 | $512.86 | $537.03 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,905.46 Median $1,905.46 Typical High $1,995.26 | Professional | 54 · Surgery only | $1,905.46 | $1,905.46 | $1,995.26 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $380.19 Median $380.19 Typical High $398.11 | Professional | 55 · Aftercare only | $380.19 | $380.19 | $398.11 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $257.04 Median $257.04 Typical High $269.15 | Professional | 56 · Pre-op care only | $257.04 | $257.04 | $269.15 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,778.28 Median $1,778.28 Typical High $1,862.09 | Professional | 78 · Unplanned return to OR | $1,778.28 | $1,778.28 | $1,862.09 |
Where Nevada sits
The same service costs 11.0 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· 33rd of 51
$2,692
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.