How much rates vary
Facilitymedian $1,950 · 10th to 90th $692 to $5,754Professionalmedian $1,288 · 10th to 90th $1,122 to $9,120
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 $977.24 Median $4,265.80 Typical High $7,762.47 | Facility | None | $977.24 | $4,265.80 | $7,762.47 |
Aetna Setting Professional Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $1,122.02 | Professional | None | $1,122.02 | $1,122.02 | $1,122.02 |
BCBS Setting Facility Modifier None Typical Low $630.96 Median $1,513.56 Typical High $3,981.07 | Facility | None | $630.96 | $1,513.56 | $3,981.07 |
BCBS Setting Professional Modifier None Typical Low $1,380.38 Median $1,380.38 Typical High $2,238.72 | Professional | None | $1,380.38 | $1,380.38 | $2,238.72 |
Cigna Setting Facility Modifier None Typical Low $1,122.02 Median $1,513.56 Typical High $6,760.83 | Facility | None | $1,122.02 | $1,513.56 | $6,760.83 |
Cigna Setting Professional Modifier None Typical Low $1,096.48 Median $1,202.26 Typical High $1,949.84 | Professional | None | $1,096.48 | $1,202.26 | $1,949.84 |
Medica Setting Facility Modifier None Typical Low $758.58 Median $1,737.80 Typical High $5,128.61 | Facility | None | $758.58 | $1,737.80 | $5,128.61 |
Medica Setting Professional Modifier None Typical Low $1,148.15 Median $1,412.54 Typical High $9,120.11 | Professional | None | $1,148.15 | $1,412.54 | $9,120.11 |
United Setting Facility Modifier None Typical Low $794.33 Median $2,089.30 Typical High $5,623.41 | Facility | None | $794.33 | $2,089.30 | $5,623.41 |
United Setting Professional Modifier None Typical Low $1,096.48 Median $1,258.93 Typical High $1,905.46 | Professional | None | $1,096.48 | $1,258.93 | $1,905.46 |
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 $851.14 Median $851.14 Typical High $851.14 | Professional | 54 · Surgery only | $851.14 | $851.14 | $851.14 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $794.33 Median $794.33 Typical High $794.33 | Professional | 78 · Unplanned return to OR | $794.33 | $794.33 | $794.33 |
Where Arizona sits
The same service costs 3.4 times more in Alaska than in Maryland. 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 $8,759MD $2,608
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.