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 $1,122.02 Median $3,981.07 Typical High $10,715.19 | Facility | None | $1,122.02 | $3,981.07 | $10,715.19 |
Aetna Setting Professional Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $1,380.38 | Professional | None | $1,122.02 | $1,122.02 | $1,380.38 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,754.23 Median $4,570.88 Typical High $8,317.64 | Facility | None | $2,754.23 | $4,570.88 | $8,317.64 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,071.52 Median $1,288.25 Typical High $2,344.23 | Professional | None | $1,071.52 | $1,288.25 | $2,344.23 |
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 $954.99 Median $1,023.29 Typical High $1,819.70 | Professional | None | $954.99 | $1,023.29 | $1,819.70 |
Hometown Health Setting Professional Modifier None Typical Low $16.22 Median $1,148.15 Typical High $1,698.24 | Professional | None | $16.22 | $1,148.15 | $1,698.24 |
Hometown Health Setting Professional Modifier None Typical Low $13.80 Median $13.80 Typical High $1,445.44 | Professional | None | $13.80 | $13.80 | $1,445.44 |
Select Health Setting Facility Modifier None Typical Low $977.24 Median $977.24 Typical High $4,265.80 | Facility | None | $977.24 | $977.24 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $870.96 Median $870.96 Typical High $870.96 | Professional | None | $870.96 | $870.96 | $870.96 |
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 $977.24 Median $1,202.26 Typical High $1,819.70 | Professional | None | $977.24 | $1,202.26 | $1,819.70 |
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 $562.34 Median $562.34 Typical High $691.83 | Professional | 52 · Reduced service | $562.34 | $562.34 | $691.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $223.87 Median $223.87 Typical High $275.42 | Professional | 53 · Discontinued | $223.87 | $223.87 | $275.42 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $831.76 Median $831.76 Typical High $1,047.13 | Professional | 54 · Surgery only | $831.76 | $831.76 | $1,047.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $169.82 Median $169.82 Typical High $208.93 | Professional | 55 · Aftercare only | $169.82 | $169.82 | $208.93 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $112.20 Median $112.20 Typical High $138.04 | Professional | 56 · Pre-op care only | $112.20 | $112.20 | $138.04 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $776.25 Median $776.25 Typical High $977.24 | Professional | 78 · Unplanned return to OR | $776.25 | $776.25 | $977.24 |
Where Nevada sits
The same service costs 5.9 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
$1,288
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.