How much rates vary
Facilitymedian $2,951 · 10th to 90th $1,479 to $7,079Professionalmedian $2,512 · 10th to 90th $1,445 to $3,631
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 $1,949.84 Median $4,265.80 Typical High $7,244.36 | Facility | None | $1,949.84 | $4,265.80 | $7,244.36 |
Aetna Setting Professional Modifier None Typical Low $1,122.02 Median $1,949.84 Typical High $1,949.84 | Professional | None | $1,122.02 | $1,949.84 | $1,949.84 |
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 $2,454.71 Median $2,818.38 Typical High $3,467.37 | Professional | None | $2,454.71 | $2,818.38 | $3,467.37 |
Hally Health Setting Professional Modifier None Typical Low $1,148.15 Median $1,513.56 Typical High $4,466.84 | Professional | None | $1,148.15 | $1,513.56 | $4,466.84 |
Medica Setting Facility Modifier None Typical Low $1,479.11 Median $2,754.23 Typical High $6,760.83 | Facility | None | $1,479.11 | $2,754.23 | $6,760.83 |
Medica Setting Professional Modifier None Typical Low $1,412.54 Median $2,754.23 Typical High $9,120.11 | Professional | None | $1,412.54 | $2,754.23 | $9,120.11 |
Midlands Setting Professional Modifier None Typical Low $2,398.83 Median $2,818.38 Typical High $3,467.37 | Professional | None | $2,398.83 | $2,818.38 | $3,467.37 |
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 $2,454.71 Median $2,754.23 Typical High $4,168.69 | Professional | None | $2,454.71 | $2,754.23 | $4,168.69 |
Oscar Health Setting Professional Modifier None Typical Low $1,202.26 Median $2,238.72 Typical High $2,818.38 | Professional | None | $1,202.26 | $2,238.72 | $2,818.38 |
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 $1,258.93 Median $1,905.46 Typical High $3,467.37 | Professional | None | $1,258.93 | $1,905.46 | $3,467.37 |
Wellmark Setting Professional Modifier None Typical Low $2,398.83 Median $2,398.83 Typical High $2,818.38 | Professional | None | $2,398.83 | $2,398.83 | $2,818.38 |
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 $1,445.44 Typical High $1,445.44 | Professional | 54 · Surgery only | $851.14 | $1,445.44 | $1,445.44 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $794.33 Median $1,348.96 Typical High $1,348.96 | Professional | 78 · Unplanned return to OR | $794.33 | $1,348.96 | $1,348.96 |
Where Iowa 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.