How much rates vary
Facilitymedian $1,349 · 10th to 90th $490 to $3,631Professionalmedian $1,259 · 10th to 90th $977 to $1,778
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 $831.76 Median $1,288.25 Typical High $2,454.71 | Facility | None | $831.76 | $1,288.25 | $2,454.71 |
Aetna Setting Professional Modifier None Typical Low $1,202.26 Median $1,258.93 Typical High $1,318.26 | Professional | None | $1,202.26 | $1,258.93 | $1,318.26 |
BCBS Setting Facility Modifier None Typical Low $1,174.90 Median $2,630.27 Typical High $3,630.78 | Facility | None | $1,174.90 | $2,630.27 | $3,630.78 |
BCBS Setting Professional Modifier None Typical Low $1,096.48 Median $1,096.48 Typical High $1,445.44 | Professional | None | $1,096.48 | $1,096.48 | $1,445.44 |
Cigna Setting Facility Modifier None Typical Low $891.25 Median $1,174.90 Typical High $1,479.11 | Facility | None | $891.25 | $1,174.90 | $1,479.11 |
Cigna Setting Professional Modifier None Typical Low $758.58 Median $1,659.59 Typical High $1,778.28 | Professional | None | $758.58 | $1,659.59 | $1,778.28 |
United Setting Facility Modifier None Typical Low $407.38 Median $588.84 Typical High $2,511.89 | Facility | None | $407.38 | $588.84 | $2,511.89 |
United Setting Professional Modifier None Typical Low $933.25 Median $1,174.90 Typical High $2,041.74 | Professional | None | $933.25 | $1,174.90 | $2,041.74 |
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 $891.25 Median $954.99 Typical High $954.99 | Professional | 54 · Surgery only | $891.25 | $954.99 | $954.99 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $831.76 Median $891.25 Typical High $891.25 | Professional | 78 · Unplanned return to OR | $831.76 | $891.25 | $891.25 |
Where Arkansas sits
The same service costs 3.4 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 $7,428KY $2,193
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.