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 $776.25 Median $3,162.28 Typical High $7,244.36 | Facility | None | $776.25 | $3,162.28 | $7,244.36 |
Aetna Setting Professional Modifier None Typical Low $660.69 Median $660.69 Typical High $812.83 | Professional | None | $660.69 | $660.69 | $812.83 |
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 $616.60 Median $707.95 Typical High $954.99 | Professional | None | $616.60 | $707.95 | $954.99 |
Cigna Setting Facility Modifier None Typical Low $724.44 Median $1,905.46 Typical High $2,630.27 | Facility | None | $724.44 | $1,905.46 | $2,630.27 |
Cigna Setting Professional Modifier None Typical Low $416.87 Median $645.65 Typical High $1,000.00 | Professional | None | $416.87 | $645.65 | $1,000.00 |
Hometown Health Setting Professional Modifier None Typical Low $489.78 Median $724.44 Typical High $954.99 | Professional | None | $489.78 | $724.44 | $954.99 |
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 $10.00 Median $10.00 Typical High $831.76 | Professional | None | $10.00 | $10.00 | $831.76 |
Select Health Setting Facility Modifier None Typical Low $549.54 Median $549.54 Typical High $4,265.80 | Facility | None | $549.54 | $549.54 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $512.86 Median $724.44 Typical High $1,023.29 | Professional | None | $512.86 | $724.44 | $1,023.29 |
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 $524.81 Median $645.65 Typical High $954.99 | Professional | None | $524.81 | $645.65 | $954.99 |
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 $331.13 Median $331.13 Typical High $389.05 | Professional | 52 · Reduced service | $331.13 | $331.13 | $389.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $131.83 Median $131.83 Typical High $154.88 | Professional | 53 · Discontinued | $131.83 | $131.83 | $154.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $489.78 Median $489.78 Typical High $588.84 | Professional | 54 · Surgery only | $489.78 | $489.78 | $588.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $97.72 Median $97.72 Typical High $117.49 | Professional | 55 · Aftercare only | $97.72 | $97.72 | $117.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $66.07 Median $66.07 Typical High $77.62 | Professional | 56 · Pre-op care only | $66.07 | $66.07 | $77.62 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $457.09 Median $457.09 Typical High $549.54 | Professional | 78 · Unplanned return to OR | $457.09 | $457.09 | $549.54 |
Where Nevada sits
The same service costs 8.5 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· 35th of 51
$759
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.