How much rates vary
Facilitymedian $1,413 · 10th to 90th $537 to $3,890Professionalmedian $646 · 10th to 90th $513 to $933
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 $537.03 Median $616.60 Typical High $851.14 | Facility | None | $537.03 | $616.60 | $851.14 |
Aetna Setting Professional Modifier None Typical Low $537.03 Median $616.60 Typical High $707.95 | Professional | None | $537.03 | $616.60 | $707.95 |
Anthem BCBS Setting Facility Modifier None Typical Low $724.44 Median $1,995.26 Typical High $4,265.80 | Facility | None | $724.44 | $1,995.26 | $4,265.80 |
Anthem BCBS Setting Professional Modifier None Typical Low $489.78 Median $645.65 Typical High $933.25 | Professional | None | $489.78 | $645.65 | $933.25 |
CareSource Setting Facility Modifier None Typical Low $562.34 Median $933.25 Typical High $1,659.59 | Facility | None | $562.34 | $933.25 | $1,659.59 |
CareSource Setting Professional Modifier None Typical Low $588.84 Median $794.33 Typical High $977.24 | Professional | None | $588.84 | $794.33 | $977.24 |
Cigna Setting Facility Modifier None Typical Low $691.83 Median $1,288.25 Typical High $1,659.59 | Facility | None | $691.83 | $1,288.25 | $1,659.59 |
Cigna Setting Professional Modifier None Typical Low $588.84 Median $676.08 Typical High $3,715.35 | Professional | None | $588.84 | $676.08 | $3,715.35 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | None | $33.11 | $33.11 | $33.11 |
United Setting Facility Modifier None Typical Low $457.09 Median $794.33 Typical High $2,454.71 | Facility | None | $457.09 | $794.33 | $2,454.71 |
United Setting Professional Modifier None Typical Low $549.54 Median $660.69 Typical High $1,122.02 | Professional | None | $549.54 | $660.69 | $1,122.02 |
2 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 Facility Modifier 78 · Unplanned return to OR Typical Low $380.19 Median $416.87 Typical High $467.74 | Facility | 78 · Unplanned return to OR | $380.19 | $416.87 | $467.74 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $380.19 Median $426.58 Typical High $467.74 | Professional | 78 · Unplanned return to OR | $380.19 | $426.58 | $467.74 |
Where Kentucky 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.