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 $371.54 Median $1,698.24 Typical High $4,466.84 | Facility | None | $371.54 | $1,698.24 | $4,466.84 |
Aetna Setting Professional Modifier None Typical Low $371.54 Median $371.54 Typical High $512.86 | Professional | None | $371.54 | $371.54 | $512.86 |
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 $354.81 Median $426.58 Typical High $776.25 | Professional | None | $354.81 | $426.58 | $776.25 |
Cigna Setting Facility Modifier None Typical Low $398.11 Median $1,905.46 Typical High $2,570.40 | Facility | None | $398.11 | $1,905.46 | $2,570.40 |
Cigna Setting Professional Modifier None Typical Low $302.00 Median $302.00 Typical High $562.34 | Professional | None | $302.00 | $302.00 | $562.34 |
Hometown Health Setting Professional Modifier None Typical Low $5.62 Median $371.54 Typical High $575.44 | Professional | None | $5.62 | $371.54 | $575.44 |
Hometown Health Setting Facility Modifier None Typical Low $1,819.70 Median $1,819.70 Typical High $1,819.70 | Facility | None | $1,819.70 | $1,819.70 | $1,819.70 |
Hometown Health Setting Professional Modifier None Typical Low $4.79 Median $4.79 Typical High $501.19 | Professional | None | $4.79 | $4.79 | $501.19 |
Select Health Setting Facility Modifier None Typical Low $331.13 Median $331.13 Typical High $4,265.80 | Facility | None | $331.13 | $331.13 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $302.00 Median $302.00 Typical High $302.00 | Professional | None | $302.00 | $302.00 | $302.00 |
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 $302.00 Median $380.19 Typical High $588.84 | Professional | None | $302.00 | $380.19 | $588.84 |
2 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 54 · Surgery only Typical Low $281.84 Median $281.84 Typical High $281.84 | Professional | 54 · Surgery only | $281.84 | $281.84 | $281.84 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $263.03 Median $263.03 Typical High $263.03 | Professional | 78 · Unplanned return to OR | $263.03 | $263.03 | $263.03 |
Where Nevada sits
The same service costs 6.2 times more in Alaska than in Utah. 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· 41st of 51
$447
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.