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 $954.99 Median $2,570.40 Typical High $6,165.95 | Facility | None | $954.99 | $2,570.40 | $6,165.95 |
Aetna Setting Professional Modifier None Typical Low $776.25 Median $776.25 Typical High $1,096.48 | Professional | None | $776.25 | $776.25 | $1,096.48 |
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 $741.31 Median $891.25 Typical High $1,659.59 | Professional | None | $741.31 | $891.25 | $1,659.59 |
Cigna Setting Facility Modifier None Typical Low $562.34 Median $758.58 Typical High $6,309.57 | Facility | None | $562.34 | $758.58 | $6,309.57 |
Cigna Setting Professional Modifier None Typical Low $630.96 Median $630.96 Typical High $1,230.27 | Professional | None | $630.96 | $630.96 | $1,230.27 |
Hometown Health Setting Professional Modifier None Typical Low $13.18 Median $794.33 Typical High $1,202.26 | Professional | None | $13.18 | $794.33 | $1,202.26 |
Hometown Health Setting Professional Modifier None Typical Low $11.48 Median $11.48 Typical High $1,023.29 | Professional | None | $11.48 | $11.48 | $1,023.29 |
Select Health Setting Facility Modifier None Typical Low $676.08 Median $676.08 Typical High $4,265.80 | Facility | None | $676.08 | $676.08 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $616.60 Median $616.60 Typical High $616.60 | Professional | None | $616.60 | $616.60 | $616.60 |
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 $676.08 Median $831.76 Typical High $1,380.38 | Professional | None | $676.08 | $831.76 | $1,380.38 |
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 $389.05 Median $389.05 Typical High $478.63 | Professional | 52 · Reduced service | $389.05 | $389.05 | $478.63 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $154.88 Median $154.88 Typical High $190.55 | Professional | 53 · Discontinued | $154.88 | $154.88 | $190.55 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $588.84 Median $588.84 Typical High $724.44 | Professional | 54 · Surgery only | $588.84 | $588.84 | $724.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $117.49 Median $117.49 Typical High $144.54 | Professional | 55 · Aftercare only | $117.49 | $117.49 | $144.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $77.62 Median $77.62 Typical High $95.50 | Professional | 56 · Pre-op care only | $77.62 | $77.62 | $95.50 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $549.54 Median $549.54 Typical High $676.08 | Professional | 78 · Unplanned return to OR | $549.54 | $549.54 | $676.08 |
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· 36th of 51
$955
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.