How much rates vary
Facilitymedian $3,467 · 10th to 90th $1,479 to $7,413Professionalmedian $3,548 · 10th to 90th $2,042 to $5,129
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 $2,818.38 Median $4,265.80 Typical High $7,244.36 | Facility | None | $2,818.38 | $4,265.80 | $7,244.36 |
Aetna Setting Professional Modifier None Typical Low $1,621.81 Median $2,818.38 Typical High $2,818.38 | Professional | None | $1,621.81 | $2,818.38 | $2,818.38 |
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 $3,467.37 Median $4,073.80 Typical High $5,011.87 | Professional | None | $3,467.37 | $4,073.80 | $5,011.87 |
Hally Health Setting Professional Modifier None Typical Low $1,698.24 Median $2,238.72 Typical High $6,606.93 | Professional | None | $1,698.24 | $2,238.72 | $6,606.93 |
Medica Setting Facility Modifier None Typical Low $1,479.11 Median $3,548.13 Typical High $7,079.46 | Facility | None | $1,479.11 | $3,548.13 | $7,079.46 |
Medica Setting Professional Modifier None Typical Low $1,995.26 Median $3,981.07 Typical High $13,182.57 | Professional | None | $1,995.26 | $3,981.07 | $13,182.57 |
Midlands Setting Professional Modifier None Typical Low $3,467.37 Median $4,073.80 Typical High $4,897.79 | Professional | None | $3,467.37 | $4,073.80 | $4,897.79 |
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 $3,467.37 Median $3,890.45 Typical High $5,888.44 | Professional | None | $3,467.37 | $3,890.45 | $5,888.44 |
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 $1,819.70 Median $2,754.23 Typical High $4,897.79 | Professional | None | $1,819.70 | $2,754.23 | $4,897.79 |
Wellmark Setting Professional Modifier None Typical Low $3,467.37 Median $3,467.37 Typical High $4,073.80 | Professional | None | $3,467.37 | $3,467.37 | $4,073.80 |
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 $1,230.27 Median $2,089.30 Typical High $2,089.30 | Professional | 54 · Surgery only | $1,230.27 | $2,089.30 | $2,089.30 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,148.15 Median $1,949.84 Typical High $1,949.84 | Professional | 78 · Unplanned return to OR | $1,148.15 | $1,949.84 | $1,949.84 |
Where Iowa sits
The same service costs 3.8 times more in Alaska than in Texas. 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 $11,044TX $2,933
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.