How much rates vary
Facilitymedian $1,288 · 10th to 90th $537 to $5,248Professionalmedian $631 · 10th to 90th $123 to $1,047
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 $741.31 Median $4,365.16 Typical High $12,589.25 | Facility | None | $741.31 | $4,365.16 | $12,589.25 |
Aetna Setting Professional Modifier None Typical Low $562.34 Median $616.60 Typical High $3,715.35 | Professional | None | $562.34 | $616.60 | $3,715.35 |
Anthem BCBS Setting Facility Modifier None Typical Low $524.81 Median $1,202.26 Typical High $4,466.84 | Facility | None | $524.81 | $1,202.26 | $4,466.84 |
Anthem BCBS Setting Professional Modifier None Typical Low $501.19 Median $676.08 Typical High $1,023.29 | Professional | None | $501.19 | $676.08 | $1,023.29 |
CareSource Setting Facility Modifier None Typical Low $794.33 Median $954.99 Typical High $1,230.27 | Facility | None | $794.33 | $954.99 | $1,230.27 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $1,202.26 Typical High $2,041.74 | Facility | None | $512.86 | $1,202.26 | $2,041.74 |
Cigna Setting Professional Modifier None Typical Low $537.03 Median $691.83 Typical High $1,174.90 | Professional | None | $537.03 | $691.83 | $1,174.90 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $512.86 Median $1,202.26 Typical High $2,041.74 | Facility | None | $512.86 | $1,202.26 | $2,041.74 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $537.03 Median $691.83 Typical High $1,174.90 | Professional | None | $537.03 | $691.83 | $1,174.90 |
Molina Setting Professional Modifier None Typical Low $77.62 Median $575.44 Typical High $954.99 | Professional | None | $77.62 | $575.44 | $954.99 |
SummaCare Setting Facility Modifier None Typical Low $575.44 Median $616.60 Typical High $691.83 | Facility | None | $575.44 | $616.60 | $691.83 |
SummaCare Setting Professional Modifier None Typical Low $630.96 Median $776.25 Typical High $954.99 | Professional | None | $630.96 | $776.25 | $954.99 |
United Setting Facility Modifier None Typical Low $501.19 Median $977.24 Typical High $4,677.35 | Facility | None | $501.19 | $977.24 | $4,677.35 |
United Setting Professional Modifier None Typical Low $524.81 Median $691.83 Typical High $1,230.27 | Professional | None | $524.81 | $691.83 | $1,230.27 |
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 $389.05 Median $426.58 Typical High $467.74 | Professional | 78 · Unplanned return to OR | $389.05 | $426.58 | $467.74 |
Where Ohio 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.