How much rates vary
Facilitymedian $6,918 · 10th to 90th $1,380 to $9,772Professionalmedian $1,148 · 10th to 90th $851 to $6,166
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 $1,698.24 Median $4,786.30 Typical High $9,549.93 | Facility | None | $1,698.24 | $4,786.30 | $9,549.93 |
Aetna Setting Professional Modifier None Typical Low $851.14 Median $1,047.13 Typical High $1,288.25 | Professional | None | $851.14 | $1,047.13 | $1,288.25 |
BCBS Setting Facility Modifier None Typical Low $4,466.84 Median $8,511.38 Typical High $8,912.51 | Facility | None | $4,466.84 | $8,511.38 | $8,912.51 |
BCBS Setting Professional Modifier None Typical Low $1,148.15 Median $1,148.15 Typical High $1,148.15 | Professional | None | $1,148.15 | $1,148.15 | $1,148.15 |
Cigna Setting Facility Modifier None Typical Low $912.01 Median $6,025.60 Typical High $6,760.83 | Facility | None | $912.01 | $6,025.60 | $6,760.83 |
Cigna Setting Professional Modifier None Typical Low $891.25 Median $1,148.15 Typical High $1,288.25 | Professional | None | $891.25 | $1,148.15 | $1,288.25 |
Medica Setting Facility Modifier None Typical Low $1,023.29 Median $4,168.69 Typical High $26,302.68 | Facility | None | $1,023.29 | $4,168.69 | $26,302.68 |
Medica Setting Professional Modifier None Typical Low $831.76 Median $1,071.52 Typical High $6,165.95 | Professional | None | $831.76 | $1,071.52 | $6,165.95 |
United Setting Facility Modifier None Typical Low $933.25 Median $3,981.07 Typical High $12,302.69 | Facility | None | $933.25 | $3,981.07 | $12,302.69 |
United Setting Professional Modifier None Typical Low $831.76 Median $977.24 Typical High $1,348.96 | Professional | None | $831.76 | $977.24 | $1,348.96 |
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 $630.96 Median $794.33 Typical High $977.24 | Professional | 54 · Surgery only | $630.96 | $794.33 | $977.24 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $588.84 Median $741.31 Typical High $912.01 | Professional | 78 · Unplanned return to OR | $588.84 | $741.31 | $912.01 |
Where Kansas sits
The same service costs 5.4 times more in Alaska than in Montana. 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 $14,353MT $2,667
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.