How much rates vary
Facilitymedian $2,630 · 10th to 90th $617 to $8,318Professionalmedian $661 · 10th to 90th $525 to $1,023
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 $524.81 Median $3,467.37 Typical High $7,244.36 | Facility | None | $524.81 | $3,467.37 | $7,244.36 |
Aetna Setting Professional Modifier None Typical Low $524.81 Median $575.44 Typical High $707.95 | Professional | None | $524.81 | $575.44 | $707.95 |
Anthem BCBS Setting Facility Modifier None Typical Low $630.96 Median $5,011.87 Typical High $9,549.93 | Facility | None | $630.96 | $5,011.87 | $9,549.93 |
Anthem BCBS Setting Professional Modifier None Typical Low $562.34 Median $660.69 Typical High $1,023.29 | Professional | None | $562.34 | $660.69 | $1,023.29 |
CareSource Setting Facility Modifier None Typical Low $645.65 Median $645.65 Typical High $2,041.74 | Facility | None | $645.65 | $645.65 | $2,041.74 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $1,380.38 Typical High $2,398.83 | Facility | None | $602.56 | $1,380.38 | $2,398.83 |
Cigna Setting Professional Modifier None Typical Low $549.54 Median $724.44 Typical High $1,047.13 | Professional | None | $549.54 | $724.44 | $1,047.13 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $1,513.56 Median $2,137.96 Typical High $3,388.44 | Facility | None | $1,513.56 | $2,137.96 | $3,388.44 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $630.96 Median $812.83 Typical High $1,230.27 | Professional | None | $630.96 | $812.83 | $1,230.27 |
United Setting Facility Modifier None Typical Low $512.86 Median $1,949.84 Typical High $4,677.35 | Facility | None | $512.86 | $1,949.84 | $4,677.35 |
United Setting Professional Modifier None Typical Low $501.19 Median $691.83 Typical High $1,096.48 | Professional | None | $501.19 | $691.83 | $1,096.48 |
1 more rate 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 78 · Unplanned return to OR Typical Low $363.08 Median $407.38 Typical High $478.63 | Professional | 78 · Unplanned return to OR | $363.08 | $407.38 | $478.63 |
Where Indiana sits
The same service costs 4.0 times more in Alaska than in Delaware. 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.
Physician feeFacility fee
AK $5,661DE $1,425
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.