How much rates vary
Facilitymedian $2,512 · 10th to 90th $1,000 to $5,754Professionalmedian $1,175 · 10th to 90th $851 to $8,128
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 $1,380.38 Median $2,818.38 Typical High $7,585.78 | Facility | None | $1,380.38 | $2,818.38 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $776.25 Median $1,023.29 Typical High $1,348.96 | Professional | None | $776.25 | $1,023.29 | $1,348.96 |
BCBS Setting Facility Modifier None Typical Low $1,071.52 Median $2,089.30 Typical High $5,128.61 | Facility | None | $1,071.52 | $2,089.30 | $5,128.61 |
BCBS Setting Professional Modifier None Typical Low $977.24 Median $1,230.27 Typical High $1,737.80 | Professional | None | $977.24 | $1,230.27 | $1,737.80 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $2,290.87 Typical High $4,168.69 | Facility | None | $602.56 | $2,290.87 | $4,168.69 |
Cigna Setting Professional Modifier None Typical Low $831.76 Median $977.24 Typical High $1,737.80 | Professional | None | $831.76 | $977.24 | $1,737.80 |
Lucent Health Setting Professional Modifier None Typical Low $8,128.31 Median $8,128.31 Typical High $10,000.00 | Professional | None | $8,128.31 | $8,128.31 | $10,000.00 |
United Setting Facility Modifier None Typical Low $1,202.26 Median $3,801.89 Typical High $6,760.83 | Facility | None | $1,202.26 | $3,801.89 | $6,760.83 |
United Setting Professional Modifier None Typical Low $933.25 Median $1,148.15 Typical High $1,949.84 | Professional | None | $933.25 | $1,148.15 | $1,949.84 |
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 $575.44 Median $676.08 Typical High $891.25 | Professional | 54 · Surgery only | $575.44 | $676.08 | $891.25 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $537.03 Median $630.96 Typical High $831.76 | Professional | 78 · Unplanned return to OR | $537.03 | $630.96 | $831.76 |
Where Tennessee 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.