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 $1,949.84 Median $4,365.16 Typical High $21,877.62 | Facility | None | $1,949.84 | $4,365.16 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $1,949.84 Median $1,949.84 Typical High $1,949.84 | Professional | None | $1,949.84 | $1,949.84 | $1,949.84 |
Anthem BCBS Setting Facility Modifier None Typical Low $3,630.78 Median $7,762.47 Typical High $25,703.96 | Facility | None | $3,630.78 | $7,762.47 | $25,703.96 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,778.28 Median $2,041.74 Typical High $3,311.31 | Professional | None | $1,778.28 | $2,041.74 | $3,311.31 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $16,595.87 Typical High $38,018.94 | Facility | None | $660.69 | $16,595.87 | $38,018.94 |
Cigna Setting Professional Modifier None Typical Low $1,148.15 Median $1,479.11 Typical High $2,398.83 | Professional | None | $1,148.15 | $1,479.11 | $2,398.83 |
Hometown Health Setting Professional Modifier None Typical Low $22.91 Median $1,659.59 Typical High $2,398.83 | Professional | None | $22.91 | $1,659.59 | $2,398.83 |
Hometown Health Setting Professional Modifier None Typical Low $16.98 Median $16.98 Typical High $2,454.71 | Professional | None | $16.98 | $16.98 | $2,454.71 |
Select Health Setting Facility Modifier None Typical Low $1,659.59 Median $1,659.59 Typical High $4,265.80 | Facility | None | $1,659.59 | $1,659.59 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $1,122.02 Median $1,479.11 Typical High $3,162.28 | Professional | None | $1,122.02 | $1,479.11 | $3,162.28 |
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 $1,412.54 Median $1,778.28 Typical High $2,344.23 | Professional | None | $1,412.54 | $1,778.28 | $2,344.23 |
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 $977.24 Median $977.24 Typical High $977.24 | Professional | 52 · Reduced service | $977.24 | $977.24 | $977.24 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $389.05 Median $389.05 Typical High $389.05 | Professional | 53 · Discontinued | $389.05 | $389.05 | $389.05 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,479.11 Median $1,479.11 Typical High $1,479.11 | Professional | 54 · Surgery only | $1,479.11 | $1,479.11 | $1,479.11 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $295.12 Median $295.12 Typical High $295.12 | Professional | 55 · Aftercare only | $295.12 | $295.12 | $295.12 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $194.98 Median $194.98 Typical High $194.98 | Professional | 56 · Pre-op care only | $194.98 | $194.98 | $194.98 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,380.38 Median $1,380.38 Typical High $1,380.38 | Professional | 78 · Unplanned return to OR | $1,380.38 | $1,380.38 | $1,380.38 |
Where Nevada sits
The same service costs 5.4 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· 37th of 51
$1,905
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.