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 $2,630.27 Median $2,630.27 Typical High $2,818.38 | Professional | None | $2,630.27 | $2,630.27 | $2,818.38 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,951.21 Median $5,623.41 Typical High $7,943.28 | Facility | None | $2,951.21 | $5,623.41 | $7,943.28 |
Anthem BCBS Setting Professional Modifier None Typical Low $2,290.87 Median $2,754.23 Typical High $5,128.61 | Professional | None | $2,290.87 | $2,754.23 | $5,128.61 |
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 $1,905.46 Median $2,089.30 Typical High $3,981.07 | Professional | None | $1,905.46 | $2,089.30 | $3,981.07 |
Hometown Health Setting Professional Modifier None Typical Low $35.48 Median $2,691.53 Typical High $3,630.78 | Professional | None | $35.48 | $2,691.53 | $3,630.78 |
Hometown Health Setting Professional Modifier None Typical Low $30.90 Median $30.90 Typical High $3,090.30 | Professional | None | $30.90 | $30.90 | $3,090.30 |
Select Health Setting Facility Modifier None Typical Low $2,041.74 Median $2,041.74 Typical High $4,265.80 | Facility | None | $2,041.74 | $2,041.74 | $4,265.80 |
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 $1,949.84 Median $2,691.53 Typical High $4,073.80 | Professional | None | $1,949.84 | $2,691.53 | $4,073.80 |
2 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 $1,949.84 Median $1,995.26 Typical High $1,995.26 | Professional | 54 · Surgery only | $1,949.84 | $1,995.26 | $1,995.26 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,819.70 Median $1,862.09 Typical High $1,862.09 | Professional | 78 · Unplanned return to OR | $1,819.70 | $1,862.09 | $1,862.09 |
Where Nevada sits
The same service costs 6.5 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· 35th of 51
$2,754
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.