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 $1,412.54 Median $3,162.28 Typical High $7,244.36 | Facility | None | $1,412.54 | $3,162.28 | $7,244.36 |
Aetna Setting Professional Modifier None Typical Low $1,380.38 Median $1,412.54 Typical High $4,168.69 | Professional | None | $1,380.38 | $1,412.54 | $4,168.69 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,951.21 Median $4,677.35 Typical High $6,165.95 | Facility | None | $2,951.21 | $4,677.35 | $6,165.95 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,202.26 Median $1,479.11 Typical High $2,691.53 | Professional | None | $1,202.26 | $1,479.11 | $2,691.53 |
Cigna Setting Facility Modifier None Typical Low $1,412.54 Median $3,467.37 Typical High $4,786.30 | Facility | None | $1,412.54 | $3,467.37 | $4,786.30 |
Cigna Setting Professional Modifier None Typical Low $1,071.52 Median $1,096.48 Typical High $2,089.30 | Professional | None | $1,071.52 | $1,096.48 | $2,089.30 |
Hometown Health Setting Professional Modifier None Typical Low $19.50 Median $1,412.54 Typical High $1,905.46 | Professional | None | $19.50 | $1,412.54 | $1,905.46 |
Hometown Health Setting Facility Modifier None Typical Low $3,311.31 Median $3,311.31 Typical High $3,311.31 | Facility | None | $3,311.31 | $3,311.31 | $3,311.31 |
Hometown Health Setting Professional Modifier None Typical Low $16.98 Median $16.98 Typical High $1,621.81 | Professional | None | $16.98 | $16.98 | $1,621.81 |
Select Health Setting Facility Modifier None Typical Low $1,096.48 Median $1,096.48 Typical High $4,265.80 | Facility | None | $1,096.48 | $1,096.48 | $4,265.80 |
United Setting Facility Modifier None Typical Low $1,905.46 Median $3,019.95 Typical High $6,456.54 | Facility | None | $1,905.46 | $3,019.95 | $6,456.54 |
United Setting Professional Modifier None Typical Low $1,071.52 Median $1,479.11 Typical High $2,137.96 | Professional | None | $1,071.52 | $1,479.11 | $2,137.96 |
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 $1,047.13 Median $1,047.13 Typical High $1,047.13 | Professional | 54 · Surgery only | $1,047.13 | $1,047.13 | $1,047.13 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $977.24 Median $977.24 Typical High $977.24 | Professional | 78 · Unplanned return to OR | $977.24 | $977.24 | $977.24 |
Where Nevada sits
The same service costs 5.4 times more in Wisconsin 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· 24th of 51
$2,089
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.