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 $1,071.52 Median $2,570.40 Typical High $6,165.95 | Facility | None | $1,071.52 | $2,570.40 | $6,165.95 |
Aetna Setting Professional Modifier None Typical Low $851.14 Median $851.14 Typical High $1,096.48 | Professional | None | $851.14 | $851.14 | $1,096.48 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,951.21 Median $4,677.35 Typical High $6,165.95 | Facility | None | $2,951.21 | $4,677.35 | $6,165.95 |
Anthem BCBS Setting Professional Modifier None Typical Low $812.83 Median $1,000.00 Typical High $1,819.70 | Professional | None | $812.83 | $1,000.00 | $1,819.70 |
Cigna Setting Facility Modifier None Typical Low $616.60 Median $2,884.03 Typical High $4,073.80 | Facility | None | $616.60 | $2,884.03 | $4,073.80 |
Cigna Setting Professional Modifier None Typical Low $691.83 Median $741.31 Typical High $1,348.96 | Professional | None | $691.83 | $741.31 | $1,348.96 |
Hometown Health Setting Professional Modifier None Typical Low $15.49 Median $851.14 Typical High $1,318.26 | Professional | None | $15.49 | $851.14 | $1,318.26 |
Hometown Health Setting Facility Modifier None Typical Low $2,818.38 Median $2,818.38 Typical High $2,818.38 | Facility | None | $2,818.38 | $2,818.38 | $2,818.38 |
Hometown Health Setting Professional Modifier None Typical Low $13.18 Median $13.18 Typical High $1,122.02 | Professional | None | $13.18 | $13.18 | $1,122.02 |
Select Health Setting Facility Modifier None Typical Low $741.31 Median $741.31 Typical High $4,265.80 | Facility | None | $741.31 | $741.31 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $676.08 Median $676.08 Typical High $676.08 | Professional | None | $676.08 | $676.08 | $676.08 |
United Setting Facility Modifier None Typical Low $1,174.90 Median $1,698.24 Typical High $4,073.80 | Facility | None | $1,174.90 | $1,698.24 | $4,073.80 |
United Setting Professional Modifier None Typical Low $741.31 Median $933.25 Typical High $1,412.54 | Professional | None | $741.31 | $933.25 | $1,412.54 |
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 $426.58 Median $426.58 Typical High $524.81 | Professional | 52 · Reduced service | $426.58 | $426.58 | $524.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $169.82 Median $169.82 Typical High $213.80 | Professional | 53 · Discontinued | $169.82 | $169.82 | $213.80 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $645.65 Median $645.65 Typical High $794.33 | Professional | 54 · Surgery only | $645.65 | $645.65 | $794.33 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $128.82 Median $128.82 Typical High $158.49 | Professional | 55 · Aftercare only | $128.82 | $128.82 | $158.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $85.11 Median $85.11 Typical High $107.15 | Professional | 56 · Pre-op care only | $85.11 | $85.11 | $107.15 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $602.56 Median $602.56 Typical High $741.31 | Professional | 78 · Unplanned return to OR | $602.56 | $602.56 | $741.31 |
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
$1,072
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.