How much rates vary
Facilitymedian $2,754 · 10th to 90th $1,047 to $6,026Professionalmedian $1,660 · 10th to 90th $1,230 to $2,188
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 $741.31 Median $1,905.46 Typical High $3,801.89 | Facility | None | $741.31 | $1,905.46 | $3,801.89 |
Aetna Setting Professional Modifier None Typical Low $1,621.81 Median $1,659.59 Typical High $2,290.87 | Professional | None | $1,621.81 | $1,659.59 | $2,290.87 |
BCBS Setting Facility Modifier None Typical Low $1,380.38 Median $2,630.27 Typical High $7,244.36 | Facility | None | $1,380.38 | $2,630.27 | $7,244.36 |
BCBS Setting Professional Modifier None Typical Low $1,584.89 Median $2,041.74 Typical High $2,041.74 | Professional | None | $1,584.89 | $2,041.74 | $2,041.74 |
Christus Setting Facility Modifier None Typical Low $2,754.23 Median $2,754.23 Typical High $2,754.23 | Facility | None | $2,754.23 | $2,754.23 | $2,754.23 |
Cigna Setting Facility Modifier None Typical Low $758.58 Median $1,513.56 Typical High $2,884.03 | Facility | None | $758.58 | $1,513.56 | $2,884.03 |
Cigna Setting Professional Modifier None Typical Low $1,230.27 Median $1,659.59 Typical High $2,187.76 | Professional | None | $1,230.27 | $1,659.59 | $2,187.76 |
United Setting Facility Modifier None Typical Low $851.14 Median $1,584.89 Typical High $5,888.44 | Facility | None | $851.14 | $1,584.89 | $5,888.44 |
United Setting Professional Modifier None Typical Low $1,148.15 Median $1,380.38 Typical High $2,344.23 | Professional | None | $1,148.15 | $1,380.38 | $2,344.23 |
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 $1,202.26 Median $1,258.93 Typical High $1,584.89 | Professional | 54 · Surgery only | $1,202.26 | $1,258.93 | $1,584.89 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,122.02 Median $1,174.90 Typical High $1,479.11 | Professional | 78 · Unplanned return to OR | $1,122.02 | $1,174.90 | $1,479.11 |
Where Louisiana 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.