How much rates vary
Facilitymedian $5,623 · 10th to 90th $2,399 to $13,490Professionalmedian $4,571 · 10th to 90th $2,630 to $6,607
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 $3,630.78 Median $5,370.32 Typical High $7,943.28 | Facility | None | $3,630.78 | $5,370.32 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $2,238.72 Median $3,630.78 Typical High $3,630.78 | Professional | None | $2,238.72 | $3,630.78 | $3,630.78 |
Cigna Setting Facility Modifier None Typical Low $5,495.41 Median $7,079.46 Typical High $7,762.47 | Facility | None | $5,495.41 | $7,079.46 | $7,762.47 |
Cigna Setting Professional Modifier None Typical Low $4,466.84 Median $5,370.32 Typical High $6,606.93 | Professional | None | $4,466.84 | $5,370.32 | $6,606.93 |
Hally Health Setting Professional Modifier None Typical Low $2,187.76 Median $2,754.23 Typical High $4,265.80 | Professional | None | $2,187.76 | $2,754.23 | $4,265.80 |
Medica Setting Facility Modifier None Typical Low $1,380.38 Median $4,786.30 Typical High $9,772.37 | Facility | None | $1,380.38 | $4,786.30 | $9,772.37 |
Medica Setting Professional Modifier None Typical Low $2,630.27 Median $5,248.07 Typical High $18,620.87 | Professional | None | $2,630.27 | $5,248.07 | $18,620.87 |
Midlands Setting Professional Modifier None Typical Low $4,570.88 Median $5,370.32 Typical High $6,456.54 | Professional | None | $4,570.88 | $5,370.32 | $6,456.54 |
Midlands Setting Facility Modifier None Typical Low $5,495.41 Median $7,079.46 Typical High $7,762.47 | Facility | None | $5,495.41 | $7,079.46 | $7,762.47 |
Midlands Setting Professional Modifier None Typical Low $4,570.88 Median $5,128.61 Typical High $12,882.50 | Professional | None | $4,570.88 | $5,128.61 | $12,882.50 |
United Setting Facility Modifier None Typical Low $1,819.70 Median $6,309.57 Typical High $19,054.61 | Facility | None | $1,819.70 | $6,309.57 | $19,054.61 |
United Setting Professional Modifier None Typical Low $2,398.83 Median $3,548.13 Typical High $6,456.54 | Professional | None | $2,398.83 | $3,548.13 | $6,456.54 |
Wellmark Setting Professional Modifier None Typical Low $4,570.88 Median $4,570.88 Typical High $5,495.41 | Professional | None | $4,570.88 | $4,570.88 | $5,495.41 |
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 $1,584.89 Median $2,754.23 Typical High $2,754.23 | Professional | 54 · Surgery only | $1,584.89 | $2,754.23 | $2,754.23 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,479.11 Median $2,570.40 Typical High $2,570.40 | Professional | 78 · Unplanned return to OR | $1,479.11 | $2,570.40 | $2,570.40 |
Where Iowa sits
The same service costs 4.0 times more in Alaska 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
AK $19,545KY $4,915
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.