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 $707.95 Median $1,698.24 Typical High $4,365.16 | Facility | None | $707.95 | $1,698.24 | $4,365.16 |
Aetna Setting Professional Modifier None Typical Low $616.60 Median $707.95 Typical High $851.14 | Professional | None | $616.60 | $707.95 | $851.14 |
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 $575.44 Median $660.69 Typical High $977.24 | Professional | None | $575.44 | $660.69 | $977.24 |
Cigna Setting Facility Modifier None Typical Low $398.11 Median $602.56 Typical High $831.76 | Facility | None | $398.11 | $602.56 | $831.76 |
Cigna Setting Professional Modifier None Typical Low $426.58 Median $707.95 Typical High $1,096.48 | Professional | None | $426.58 | $707.95 | $1,096.48 |
Hometown Health Setting Professional Modifier None Typical Low $645.65 Median $741.31 Typical High $977.24 | Professional | None | $645.65 | $741.31 | $977.24 |
Hometown Health Setting Facility Modifier None Typical Low $562.34 Median $562.34 Typical High $562.34 | Facility | None | $562.34 | $562.34 | $562.34 |
Hometown Health Setting Professional Modifier None Typical Low $5.75 Median $776.25 Typical High $1,047.13 | Professional | None | $5.75 | $776.25 | $1,047.13 |
Select Health Setting Facility Modifier None Typical Low $524.81 Median $691.83 Typical High $4,265.80 | Facility | None | $524.81 | $691.83 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $489.78 Median $691.83 Typical High $954.99 | Professional | None | $489.78 | $691.83 | $954.99 |
United Setting Facility Modifier None Typical Low $467.74 Median $724.44 Typical High $2,884.03 | Facility | None | $467.74 | $724.44 | $2,884.03 |
United Setting Professional Modifier None Typical Low $467.74 Median $630.96 Typical High $1,047.13 | Professional | None | $467.74 | $630.96 | $1,047.13 |
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 $309.03 Median $354.81 Typical High $416.87 | Professional | 52 · Reduced service | $309.03 | $354.81 | $416.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $123.03 Median $141.25 Typical High $169.82 | Professional | 53 · Discontinued | $123.03 | $141.25 | $169.82 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $457.09 Median $537.03 Typical High $630.96 | Professional | 54 · Surgery only | $457.09 | $537.03 | $630.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $91.20 Median $107.15 Typical High $125.89 | Professional | 55 · Aftercare only | $91.20 | $107.15 | $125.89 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $61.66 Median $70.79 Typical High $85.11 | Professional | 56 · Pre-op care only | $61.66 | $70.79 | $85.11 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $426.58 Median $501.19 Typical High $588.84 | Professional | 78 · Unplanned return to OR | $426.58 | $501.19 | $588.84 |
Where Nevada sits
The same service costs 5.5 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
$708
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.