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 $2,238.72 Typical High $5,128.61 | Facility | None | $1,071.52 | $2,238.72 | $5,128.61 |
Aetna Setting Professional Modifier None Typical Low $891.25 Median $891.25 Typical High $1,122.02 | Professional | None | $891.25 | $891.25 | $1,122.02 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,754.23 Median $4,466.84 Typical High $5,754.40 | Facility | None | $2,754.23 | $4,466.84 | $5,754.40 |
Anthem BCBS Setting Professional Modifier None Typical Low $851.14 Median $977.24 Typical High $1,318.26 | Professional | None | $851.14 | $977.24 | $1,318.26 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $1,819.70 Typical High $2,630.27 | Facility | None | $501.19 | $1,819.70 | $2,630.27 |
Cigna Setting Professional Modifier None Typical Low $501.19 Median $776.25 Typical High $1,258.93 | Professional | None | $501.19 | $776.25 | $1,258.93 |
Hometown Health Setting Professional Modifier None Typical Low $691.83 Median $831.76 Typical High $1,318.26 | Professional | None | $691.83 | $831.76 | $1,318.26 |
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 $8.91 Median $8.91 Typical High $1,148.15 | Professional | None | $8.91 | $8.91 | $1,148.15 |
Select Health Setting Facility Modifier None Typical Low $758.58 Median $758.58 Typical High $4,265.80 | Facility | None | $758.58 | $758.58 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $724.44 Median $954.99 Typical High $1,258.93 | Professional | None | $724.44 | $954.99 | $1,258.93 |
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 $467.74 Median $776.25 Typical High $1,230.27 | Professional | None | $467.74 | $776.25 | $1,230.27 |
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 $446.68 Median $446.68 Typical High $537.03 | Professional | 52 · Reduced service | $446.68 | $446.68 | $537.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $177.83 Median $177.83 Typical High $213.80 | Professional | 53 · Discontinued | $177.83 | $177.83 | $213.80 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $676.08 Median $676.08 Typical High $794.33 | Professional | 54 · Surgery only | $676.08 | $676.08 | $794.33 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $134.90 Median $134.90 Typical High $158.49 | Professional | 55 · Aftercare only | $134.90 | $134.90 | $158.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $89.13 Median $89.13 Typical High $107.15 | Professional | 56 · Pre-op care only | $89.13 | $89.13 | $107.15 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $630.96 Median $630.96 Typical High $741.31 | Professional | 78 · Unplanned return to OR | $630.96 | $630.96 | $741.31 |
Where Nevada sits
The same service costs 8.3 times more in Wyoming 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· 31st of 51
$1,000
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.