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 $457.09 Median $2,570.40 Typical High $6,165.95 | Facility | None | $457.09 | $2,570.40 | $6,165.95 |
Aetna Setting Professional Modifier None Typical Low $416.87 Median $416.87 Typical High $588.84 | Professional | None | $416.87 | $416.87 | $588.84 |
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 $436.52 Median $524.81 Typical High $870.96 | Professional | None | $436.52 | $524.81 | $870.96 |
Cigna Setting Facility Modifier None Typical Low $616.60 Median $1,905.46 Typical High $2,630.27 | Facility | None | $616.60 | $1,905.46 | $2,630.27 |
Cigna Setting Professional Modifier None Typical Low $380.19 Median $380.19 Typical High $691.83 | Professional | None | $380.19 | $380.19 | $691.83 |
Hometown Health Setting Professional Modifier None Typical Low $8.51 Median $436.52 Typical High $645.65 | Professional | None | $8.51 | $436.52 | $645.65 |
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 $7.24 Median $7.24 Typical High $575.44 | Professional | None | $7.24 | $7.24 | $575.44 |
Select Health Setting Facility Modifier None Typical Low $380.19 Median $380.19 Typical High $4,265.80 | Facility | None | $380.19 | $380.19 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $346.74 Median $346.74 Typical High $346.74 | Professional | None | $346.74 | $346.74 | $346.74 |
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 $380.19 Median $457.09 Typical High $776.25 | Professional | None | $380.19 | $457.09 | $776.25 |
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 $208.93 Median $208.93 Typical High $229.09 | Professional | 52 · Reduced service | $208.93 | $208.93 | $229.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $83.18 Median $83.18 Typical High $91.20 | Professional | 53 · Discontinued | $83.18 | $83.18 | $91.20 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $309.03 Median $309.03 Typical High $346.74 | Professional | 54 · Surgery only | $309.03 | $309.03 | $346.74 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $61.66 Median $61.66 Typical High $69.18 | Professional | 55 · Aftercare only | $61.66 | $61.66 | $69.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $41.69 Median $41.69 Typical High $45.71 | Professional | 56 · Pre-op care only | $41.69 | $41.69 | $45.71 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $288.40 Median $288.40 Typical High $323.59 | Professional | 78 · Unplanned return to OR | $288.40 | $288.40 | $323.59 |
Where Nevada sits
The same service costs 7.1 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· 35th of 51
$562
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.