How much rates vary
Facilitymedian $2,291 · 10th to 90th $851 to $6,918Professionalmedian $955 · 10th to 90th $513 to $1,318
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 $912.01 Median $3,548.13 Typical High $6,760.83 | Facility | None | $912.01 | $3,548.13 | $6,760.83 |
Aetna Setting Professional Modifier None Typical Low $426.58 Median $724.44 Typical High $1,122.02 | Professional | None | $426.58 | $724.44 | $1,122.02 |
Cigna Setting Facility Modifier None Typical Low $1,659.59 Median $2,041.74 Typical High $2,630.27 | Facility | None | $1,659.59 | $2,041.74 | $2,630.27 |
Cigna Setting Professional Modifier None Typical Low $891.25 Median $1,071.52 Typical High $1,230.27 | Professional | None | $891.25 | $1,071.52 | $1,230.27 |
Hally Health Setting Professional Modifier None Typical Low $436.52 Median $575.44 Typical High $1,258.93 | Professional | None | $436.52 | $575.44 | $1,258.93 |
Medica Setting Facility Modifier None Typical Low $562.34 Median $1,621.81 Typical High $6,760.83 | Facility | None | $562.34 | $1,621.81 | $6,760.83 |
Medica Setting Professional Modifier None Typical Low $524.81 Median $1,047.13 Typical High $3,467.37 | Professional | None | $524.81 | $1,047.13 | $3,467.37 |
Midlands Setting Professional Modifier None Typical Low $912.01 Median $1,047.13 Typical High $1,230.27 | Professional | None | $912.01 | $1,047.13 | $1,230.27 |
Midlands Setting Facility Modifier None Typical Low $1,513.56 Median $1,995.26 Typical High $2,630.27 | Facility | None | $1,513.56 | $1,995.26 | $2,630.27 |
Midlands Setting Professional Modifier None Typical Low $912.01 Median $1,071.52 Typical High $1,513.56 | Professional | None | $912.01 | $1,071.52 | $1,513.56 |
United Setting Facility Modifier None Typical Low $1,258.93 Median $3,630.78 Typical High $7,762.47 | Facility | None | $1,258.93 | $3,630.78 | $7,762.47 |
United Setting Professional Modifier None Typical Low $467.74 Median $707.95 Typical High $1,258.93 | Professional | None | $467.74 | $707.95 | $1,258.93 |
Wellmark Setting Professional Modifier None Typical Low $954.99 Median $954.99 Typical High $1,122.02 | Professional | None | $954.99 | $954.99 | $1,122.02 |
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 $316.23 Median $549.54 Typical High $549.54 | Professional | 54 · Surgery only | $316.23 | $549.54 | $549.54 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $295.12 Median $512.86 Typical High $512.86 | Professional | 78 · Unplanned return to OR | $295.12 | $512.86 | $512.86 |
Where Iowa sits
The same service costs 4.4 times more in Colorado 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
CO $6,812MT $1,536
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.