How much rates vary
Facilitymedian $13,804 · 10th to 90th $1,122 to $27,542Professionalmedian $1,445 · 10th to 90th $1,122 to $1,862
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 $1,445.44 Typical High $2,454.71 | Facility | None | $954.99 | $1,445.44 | $2,454.71 |
Aetna Setting Professional Modifier None Typical Low $1,047.13 Median $1,445.44 Typical High $1,445.44 | Professional | None | $1,047.13 | $1,445.44 | $1,445.44 |
BCBS Setting Facility Modifier None Typical Low $13,803.84 Median $22,387.21 Typical High $30,199.52 | Facility | None | $13,803.84 | $22,387.21 | $30,199.52 |
BCBS Setting Professional Modifier None Typical Low $1,230.27 Median $1,348.96 Typical High $1,621.81 | Professional | None | $1,230.27 | $1,348.96 | $1,621.81 |
Cigna Setting Facility Modifier None Typical Low $933.25 Median $16,218.10 Typical High $19,498.45 | Facility | None | $933.25 | $16,218.10 | $19,498.45 |
Cigna Setting Professional Modifier None Typical Low $1,023.29 Median $1,862.09 Typical High $1,995.26 | Professional | None | $1,023.29 | $1,862.09 | $1,995.26 |
United Setting Facility Modifier None Typical Low $1,096.48 Median $1,513.56 Typical High $5,623.41 | Facility | None | $1,096.48 | $1,513.56 | $5,623.41 |
United Setting Professional Modifier None Typical Low $1,000.00 Median $1,230.27 Typical High $2,187.76 | Professional | None | $1,000.00 | $1,230.27 | $2,187.76 |
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 $812.83 Median $1,096.48 Typical High $1,096.48 | Professional | 54 · Surgery only | $812.83 | $1,096.48 | $1,096.48 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $758.58 Median $1,023.29 Typical High $1,023.29 | Professional | 78 · Unplanned return to OR | $758.58 | $1,023.29 | $1,023.29 |
Where Arkansas sits
The same service costs 8.5 times more in Wyoming than in Kentucky. 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
WY $22,644KY $2,656
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.