How much rates vary
Facilitymedian $4,266 · 10th to 90th $1,318 to $41,687Professionalmedian $2,239 · 10th to 90th $1,202 to $3,236
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 $1,819.70 Median $4,265.80 Typical High $7,244.36 | Facility | None | $1,819.70 | $4,265.80 | $7,244.36 |
Aetna Setting Professional Modifier None Typical Low $1,096.48 Median $1,819.70 Typical High $2,818.38 | Professional | None | $1,096.48 | $1,819.70 | $2,818.38 |
Cigna Setting Facility Modifier None Typical Low $2,344.23 Median $25,703.96 Typical High $38,018.94 | Facility | None | $2,344.23 | $25,703.96 | $38,018.94 |
Cigna Setting Professional Modifier None Typical Low $2,238.72 Median $2,630.27 Typical High $3,235.94 | Professional | None | $2,238.72 | $2,630.27 | $3,235.94 |
Hally Health Setting Professional Modifier None Typical Low $1,071.52 Median $1,380.38 Typical High $3,090.30 | Professional | None | $1,071.52 | $1,380.38 | $3,090.30 |
Medica Setting Facility Modifier None Typical Low $1,258.93 Median $3,235.94 Typical High $38,018.94 | Facility | None | $1,258.93 | $3,235.94 | $38,018.94 |
Medica Setting Professional Modifier None Typical Low $1,288.25 Median $2,570.40 Typical High $8,709.64 | Professional | None | $1,288.25 | $2,570.40 | $8,709.64 |
Midlands Setting Professional Modifier None Typical Low $2,238.72 Median $2,630.27 Typical High $3,090.30 | Professional | None | $2,238.72 | $2,630.27 | $3,090.30 |
Midlands Setting Facility Modifier None Typical Low $2,344.23 Median $25,703.96 Typical High $38,018.94 | Facility | None | $2,344.23 | $25,703.96 | $38,018.94 |
Midlands Setting Professional Modifier None Typical Low $2,137.96 Median $2,570.40 Typical High $4,168.69 | Professional | None | $2,137.96 | $2,570.40 | $4,168.69 |
Oscar Health Setting Professional Modifier None Typical Low $1,096.48 Median $1,995.26 Typical High $2,511.89 | Professional | None | $1,096.48 | $1,995.26 | $2,511.89 |
United Setting Facility Modifier None Typical Low $1,380.38 Median $4,365.16 Typical High $70,794.58 | Facility | None | $1,380.38 | $4,365.16 | $70,794.58 |
United Setting Professional Modifier None Typical Low $1,174.90 Median $1,819.70 Typical High $3,235.94 | Professional | None | $1,174.90 | $1,819.70 | $3,235.94 |
Wellmark Setting Professional Modifier None Typical Low $2,238.72 Median $2,238.72 Typical High $2,630.27 | Professional | None | $2,238.72 | $2,238.72 | $2,630.27 |
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 $794.33 Median $1,380.38 Typical High $1,380.38 | Professional | 54 · Surgery only | $794.33 | $1,380.38 | $1,380.38 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $741.31 Median $1,288.25 Typical High $1,288.25 | Professional | 78 · Unplanned return to OR | $741.31 | $1,288.25 | $1,288.25 |
Where Iowa 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.