How much rates vary
Facilitymedian $6,166 · 10th to 90th $1,413 to $14,454Professionalmedian $2,754 · 10th to 90th $2,239 to $4,786
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 $1,023.29 Median $3,388.44 Typical High $9,332.54 | Facility | None | $1,023.29 | $3,388.44 | $9,332.54 |
Aetna Setting Professional Modifier None Typical Low $2,238.72 Median $2,570.40 Typical High $2,570.40 | Professional | None | $2,238.72 | $2,570.40 | $2,570.40 |
BCBS Illinois Setting Facility Modifier None Typical Low $5,623.41 Median $8,912.51 Typical High $33,113.11 | Facility | None | $5,623.41 | $8,912.51 | $33,113.11 |
BCBS Illinois Setting Professional Modifier None Typical Low $3,019.95 Median $4,168.69 Typical High $4,786.30 | Professional | None | $3,019.95 | $4,168.69 | $4,786.30 |
Cigna Setting Facility Modifier None Typical Low $776.25 Median $6,606.93 Typical High $8,317.64 | Facility | None | $776.25 | $6,606.93 | $8,317.64 |
Cigna Setting Professional Modifier None Typical Low $2,344.23 Median $2,511.89 Typical High $4,168.69 | Professional | None | $2,344.23 | $2,511.89 | $4,168.69 |
Hally Health Setting Professional Modifier None Typical Low $2,630.27 Median $4,073.80 Typical High $7,585.78 | Professional | None | $2,630.27 | $4,073.80 | $7,585.78 |
Hally Health Setting Facility Modifier None Typical Low $100.00 Median $100.00 Typical High $100.00 | Facility | None | $100.00 | $100.00 | $100.00 |
Hally Health Setting Professional Modifier None Typical Low $2,691.53 Median $3,162.28 Typical High $3,548.13 | Professional | None | $2,691.53 | $3,162.28 | $3,548.13 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $281.84 Typical High $2,884.03 | Professional | None | $33.11 | $281.84 | $2,884.03 |
United Setting Facility Modifier None Typical Low $1,479.11 Median $5,011.87 Typical High $15,488.17 | Facility | None | $1,479.11 | $5,011.87 | $15,488.17 |
United Setting Professional Modifier None Typical Low $2,290.87 Median $2,754.23 Typical High $4,786.30 | Professional | None | $2,290.87 | $2,754.23 | $4,786.30 |
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 $1,698.24 Median $1,905.46 Typical High $1,905.46 | Professional | 54 · Surgery only | $1,698.24 | $1,905.46 | $1,905.46 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,584.89 Median $1,778.28 Typical High $1,778.28 | Professional | 78 · Unplanned return to OR | $1,584.89 | $1,778.28 | $1,778.28 |
Where Illinois 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.