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 $467.74 Median $2,238.72 Typical High $5,128.61 | Facility | None | $467.74 | $2,238.72 | $5,128.61 |
Aetna Setting Professional Modifier None Typical Low $457.09 Median $457.09 Typical High $794.33 | Professional | None | $457.09 | $457.09 | $794.33 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,570.40 Median $3,801.89 Typical High $5,128.61 | Facility | None | $2,570.40 | $3,801.89 | $5,128.61 |
Anthem BCBS Setting Professional Modifier None Typical Low $489.78 Median $588.84 Typical High $977.24 | Professional | None | $489.78 | $588.84 | $977.24 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $1,318.26 Typical High $1,905.46 | Facility | None | $501.19 | $1,318.26 | $1,905.46 |
Cigna Setting Professional Modifier None Typical Low $346.74 Median $389.05 Typical High $794.33 | Professional | None | $346.74 | $389.05 | $794.33 |
Hometown Health Setting Professional Modifier None Typical Low $1.70 Median $489.78 Typical High $812.83 | Professional | None | $1.70 | $489.78 | $812.83 |
Hometown Health Setting Facility Modifier None Typical Low $1,318.26 Median $1,318.26 Typical High $1,318.26 | Facility | None | $1,318.26 | $1,318.26 | $1,318.26 |
Hometown Health Setting Professional Modifier None Typical Low $1.45 Median $1.45 Typical High $724.44 | Professional | None | $1.45 | $1.45 | $724.44 |
Select Health Setting Facility Modifier None Typical Low $478.63 Median $478.63 Typical High $4,265.80 | Facility | None | $478.63 | $478.63 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $436.52 Median $436.52 Typical High $436.52 | Professional | None | $436.52 | $436.52 | $436.52 |
United Setting Facility Modifier None Typical Low $954.99 Median $1,318.26 Typical High $3,311.31 | Facility | None | $954.99 | $1,318.26 | $3,311.31 |
United Setting Professional Modifier None Typical Low $128.82 Median $512.86 Typical High $812.83 | Professional | None | $128.82 | $512.86 | $812.83 |
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 $229.09 Median $229.09 Typical High $229.09 | Professional | 52 · Reduced service | $229.09 | $229.09 | $229.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $91.20 Median $91.20 Typical High $93.33 | Professional | 53 · Discontinued | $91.20 | $91.20 | $93.33 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $346.74 Median $346.74 Typical High $346.74 | Professional | 54 · Surgery only | $346.74 | $346.74 | $346.74 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $69.18 Median $69.18 Typical High $69.18 | Professional | 55 · Aftercare only | $69.18 | $69.18 | $69.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $45.71 Median $45.71 Typical High $46.77 | Professional | 56 · Pre-op care only | $45.71 | $45.71 | $46.77 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $323.59 Median $323.59 Typical High $323.59 | Professional | 78 · Unplanned return to OR | $323.59 | $323.59 | $323.59 |
Where Nevada sits
The same service costs 5.5 times more in Alaska than in Utah. 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· 39th of 51
$589
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.