How much rates vary
Facilitymedian $1,950 · 10th to 90th $1,096 to $4,571Professionalmedian $1,096 · 10th to 90th $891 to $1,738
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 $954.99 Median $1,230.27 Typical High $2,454.71 | Facility | None | $954.99 | $1,230.27 | $2,454.71 |
Aetna Setting Professional Modifier None Typical Low $977.24 Median $1,096.48 Typical High $1,202.26 | Professional | None | $977.24 | $1,096.48 | $1,202.26 |
Ambetter Setting Professional Modifier None Typical Low $1,479.11 Median $1,479.11 Typical High $1,479.11 | Professional | None | $1,479.11 | $1,479.11 | $1,479.11 |
BCBS Setting Facility Modifier None Typical Low $1,862.09 Median $3,311.31 Typical High $4,570.88 | Facility | None | $1,862.09 | $3,311.31 | $4,570.88 |
BCBS Setting Professional Modifier None Typical Low $1,000.00 Median $1,122.02 Typical High $1,479.11 | Professional | None | $1,000.00 | $1,122.02 | $1,479.11 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $1,778.28 Typical High $2,187.76 | Facility | None | $588.84 | $1,778.28 | $2,187.76 |
Cigna Setting Professional Modifier None Typical Low $741.31 Median $1,047.13 Typical High $1,737.80 | Professional | None | $741.31 | $1,047.13 | $1,737.80 |
Qualchoice Setting Professional Modifier None Typical Low $1,737.80 Median $1,737.80 Typical High $1,737.80 | Professional | None | $1,737.80 | $1,737.80 | $1,737.80 |
United Setting Facility Modifier None Typical Low $1,096.48 Median $1,513.56 Typical High $4,677.35 | Facility | None | $1,096.48 | $1,513.56 | $4,677.35 |
United Setting Professional Modifier None Typical Low $891.25 Median $1,096.48 Typical High $1,862.09 | Professional | None | $891.25 | $1,096.48 | $1,862.09 |
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 Professional Modifier 54 · Surgery only Typical Low $741.31 Median $812.83 Typical High $912.01 | Professional | 54 · Surgery only | $741.31 | $812.83 | $912.01 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $691.83 Median $758.58 Typical High $851.14 | Professional | 78 · Unplanned return to OR | $691.83 | $758.58 | $851.14 |
Where Arkansas sits
The same service costs 3.2 times more in Alaska than in Hawaii. 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 $8,972HI $2,764
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.