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 $794.33 Median $3,981.07 Typical High $10,715.19 | Facility | None | $794.33 | $3,981.07 | $10,715.19 |
Aetna Setting Professional Modifier None Typical Low $794.33 Median $812.83 Typical High $812.83 | Professional | None | $794.33 | $812.83 | $812.83 |
Anthem BCBS Setting Facility Modifier None Typical Low $5,495.41 Median $9,772.37 Typical High $12,302.69 | Facility | None | $5,495.41 | $9,772.37 | $12,302.69 |
Anthem BCBS Setting Professional Modifier None Typical Low $758.58 Median $851.14 Typical High $1,380.38 | Professional | None | $758.58 | $851.14 | $1,380.38 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $6,309.57 Typical High $17,782.79 | Facility | None | $660.69 | $6,309.57 | $17,782.79 |
Cigna Setting Professional Modifier None Typical Low $575.44 Median $660.69 Typical High $660.69 | Professional | None | $575.44 | $660.69 | $660.69 |
Hometown Health Setting Professional Modifier None Typical Low $4.68 Median $660.69 Typical High $912.01 | Professional | None | $4.68 | $660.69 | $912.01 |
Hometown Health Setting Professional Modifier None Typical Low $4.68 Median $4.68 Typical High $1,047.13 | Professional | None | $4.68 | $4.68 | $1,047.13 |
Select Health Setting Facility Modifier None Typical Low $707.95 Median $707.95 Typical High $4,265.80 | Facility | None | $707.95 | $707.95 | $4,265.80 |
Select Health 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 |
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 $588.84 Median $707.95 Typical High $1,000.00 | Professional | None | $588.84 | $707.95 | $1,000.00 |
4 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 54 · Surgery only Typical Low $602.56 Median $616.60 Typical High $616.60 | Professional | 54 · Surgery only | $602.56 | $616.60 | $616.60 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $120.23 Median $123.03 Typical High $123.03 | Professional | 55 · Aftercare only | $120.23 | $123.03 | $123.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $79.43 Median $81.28 Typical High $81.28 | Professional | 56 · Pre-op care only | $79.43 | $81.28 | $81.28 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $562.34 Median $575.44 Typical High $575.44 | Professional | 78 · Unplanned return to OR | $562.34 | $575.44 | $575.44 |
Where Nevada sits
The same service costs 3.8 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· 30th 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.