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 $2,238.72 Median $3,981.07 Typical High $10,715.19 | Facility | None | $2,238.72 | $3,981.07 | $10,715.19 |
Aetna Setting Professional Modifier None Typical Low $2,398.83 Median $2,454.71 Typical High $2,454.71 | Professional | None | $2,398.83 | $2,454.71 | $2,454.71 |
Anthem BCBS Setting Facility Modifier None Typical Low $4,570.88 Median $9,120.11 Typical High $17,378.01 | Facility | None | $4,570.88 | $9,120.11 | $17,378.01 |
Anthem BCBS Setting Professional Modifier None Typical Low $2,344.23 Median $2,691.53 Typical High $4,265.80 | Professional | None | $2,344.23 | $2,691.53 | $4,265.80 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $1,122.02 Typical High $6,309.57 | Facility | None | $630.96 | $1,122.02 | $6,309.57 |
Cigna Setting Professional Modifier None Typical Low $1,621.81 Median $1,995.26 Typical High $3,548.13 | Professional | None | $1,621.81 | $1,995.26 | $3,548.13 |
Hometown Health Setting Professional Modifier None Typical Low $36.31 Median $1,995.26 Typical High $3,467.37 | Professional | None | $36.31 | $1,995.26 | $3,467.37 |
Hometown Health Setting Professional Modifier None Typical Low $26.92 Median $26.92 Typical High $3,311.31 | Professional | None | $26.92 | $26.92 | $3,311.31 |
Select Health Setting Facility Modifier None Typical Low $2,187.76 Median $2,187.76 Typical High $4,265.80 | Facility | None | $2,187.76 | $2,187.76 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $1,778.28 Median $2,187.76 Typical High $5,754.40 | Professional | None | $1,778.28 | $2,187.76 | $5,754.40 |
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 $1,548.82 Median $2,344.23 Typical High $3,548.13 | Professional | None | $1,548.82 | $2,344.23 | $3,548.13 |
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 $1,202.26 Median $1,230.27 Typical High $1,230.27 | Professional | 52 · Reduced service | $1,202.26 | $1,230.27 | $1,230.27 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $478.63 Median $489.78 Typical High $489.78 | Professional | 53 · Discontinued | $478.63 | $489.78 | $489.78 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,819.70 Median $1,819.70 Typical High $1,819.70 | Professional | 54 · Surgery only | $1,819.70 | $1,819.70 | $1,819.70 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $363.08 Median $371.54 Typical High $371.54 | Professional | 55 · Aftercare only | $363.08 | $371.54 | $371.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $239.88 Median $245.47 Typical High $245.47 | Professional | 56 · Pre-op care only | $239.88 | $245.47 | $245.47 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,698.24 Median $1,698.24 Typical High $1,698.24 | Professional | 78 · Unplanned return to OR | $1,698.24 | $1,698.24 | $1,698.24 |
Where Nevada sits
The same service costs 23.4 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· 38th of 51
$2,455
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.