How much rates vary
Facilitymedian $3,388 · 10th to 90th $631 to $23,988Professionalmedian $1,585 · 10th to 90th $1,202 to $8,710
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 $1,949.84 Median $4,570.88 Typical High $8,912.51 | Facility | None | $1,949.84 | $4,570.88 | $8,912.51 |
Aetna Setting Professional Modifier None Typical Low $1,174.90 Median $1,445.44 Typical High $1,819.70 | Professional | None | $1,174.90 | $1,445.44 | $1,819.70 |
BCBS Setting Facility Modifier None Typical Low $14,791.08 Median $14,791.08 Typical High $14,791.08 | Facility | None | $14,791.08 | $14,791.08 | $14,791.08 |
BCBS 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 |
Cigna Setting Facility Modifier None Typical Low $1,778.28 Median $23,988.33 Typical High $24,547.09 | Facility | None | $1,778.28 | $23,988.33 | $24,547.09 |
Cigna Setting Professional Modifier None Typical Low $1,288.25 Median $1,584.89 Typical High $1,862.09 | Professional | None | $1,288.25 | $1,584.89 | $1,862.09 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $1,819.70 Typical High $6,606.93 | Facility | None | $54.95 | $1,819.70 | $6,606.93 |
Medica Setting Professional Modifier None Typical Low $1,202.26 Median $1,548.82 Typical High $8,709.64 | Professional | None | $1,202.26 | $1,548.82 | $8,709.64 |
United Setting Facility Modifier None Typical Low $691.83 Median $2,187.76 Typical High $6,760.83 | Facility | None | $691.83 | $2,187.76 | $6,760.83 |
United Setting Professional Modifier None Typical Low $1,202.26 Median $1,412.54 Typical High $1,949.84 | Professional | None | $1,202.26 | $1,412.54 | $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 $870.96 Median $1,096.48 Typical High $1,348.96 | Professional | 54 · Surgery only | $870.96 | $1,096.48 | $1,348.96 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $812.83 Median $1,023.29 Typical High $1,258.93 | Professional | 78 · Unplanned return to OR | $812.83 | $1,023.29 | $1,258.93 |
Where Kansas 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.