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 $380.19 Median $2,238.72 Typical High $5,011.87 | Facility | None | $380.19 | $2,238.72 | $5,011.87 |
Aetna Setting Professional Modifier None Typical Low $380.19 Median $549.54 Typical High $588.84 | Professional | None | $380.19 | $549.54 | $588.84 |
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 $363.08 Median $524.81 Typical High $776.25 | Professional | None | $363.08 | $524.81 | $776.25 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $1,548.82 Typical High $2,238.72 | Facility | None | $501.19 | $1,548.82 | $2,238.72 |
Cigna Setting Professional Modifier None Typical Low $309.03 Median $436.52 Typical High $660.69 | Professional | None | $309.03 | $436.52 | $660.69 |
Hometown Health Setting Professional Modifier None Typical Low $363.08 Median $575.44 Typical High $1,698.24 | Professional | None | $363.08 | $575.44 | $1,698.24 |
Hometown Health Setting Facility Modifier None Typical Low $1,548.82 Median $1,548.82 Typical High $1,548.82 | Facility | None | $1,548.82 | $1,548.82 | $1,548.82 |
Hometown Health Setting Professional Modifier None Typical Low $5.89 Median $489.78 Typical High $2,344.23 | Professional | None | $5.89 | $489.78 | $2,344.23 |
Select Health Setting Facility Modifier None Typical Low $331.13 Median $524.81 Typical High $4,265.80 | Facility | None | $331.13 | $524.81 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $346.74 Median $346.74 Typical High $346.74 | Professional | None | $346.74 | $346.74 | $346.74 |
United Setting Facility Modifier None Typical Low $467.74 Median $724.44 Typical High $2,884.03 | Facility | None | $467.74 | $724.44 | $2,884.03 |
United Setting Professional Modifier None Typical Low $338.84 Median $467.74 Typical High $724.44 | Professional | None | $338.84 | $467.74 | $724.44 |
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 $190.55 Median $218.78 Typical High $275.42 | Professional | 52 · Reduced service | $190.55 | $218.78 | $275.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $77.62 Median $89.13 Typical High $109.65 | Professional | 53 · Discontinued | $77.62 | $89.13 | $109.65 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $288.40 Median $331.13 Typical High $416.87 | Professional | 54 · Surgery only | $288.40 | $331.13 | $416.87 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $57.54 Median $66.07 Typical High $83.18 | Professional | 55 · Aftercare only | $57.54 | $66.07 | $83.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $38.02 Median $44.67 Typical High $54.95 | Professional | 56 · Pre-op care only | $38.02 | $44.67 | $54.95 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $269.15 Median $309.03 Typical High $389.05 | Professional | 78 · Unplanned return to OR | $269.15 | $309.03 | $389.05 |
Where Nevada sits
The same service costs 4.4 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· 38th of 51
$550
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.