How much rates vary
Facilitymedian $2,291 · 10th to 90th $794 to $7,079Professionalmedian $813 · 10th to 90th $447 to $1,175
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 $645.65 Median $3,981.07 Typical High $7,244.36 | Facility | None | $645.65 | $3,981.07 | $7,244.36 |
Aetna Setting Professional Modifier None Typical Low $371.54 Median $645.65 Typical High $1,174.90 | Professional | None | $371.54 | $645.65 | $1,174.90 |
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 $794.33 Median $933.25 Typical High $1,122.02 | Professional | None | $794.33 | $933.25 | $1,122.02 |
Hally Health Setting Professional Modifier None Typical Low $380.19 Median $501.19 Typical High $1,096.48 | Professional | None | $380.19 | $501.19 | $1,096.48 |
Medica Setting Facility Modifier None Typical Low $524.81 Median $1,621.81 Typical High $6,760.83 | Facility | None | $524.81 | $1,621.81 | $6,760.83 |
Medica Setting Professional Modifier None Typical Low $467.74 Median $912.01 Typical High $3,019.95 | Professional | None | $467.74 | $912.01 | $3,019.95 |
Midlands Setting Professional Modifier None Typical Low $794.33 Median $933.25 Typical High $1,122.02 | Professional | None | $794.33 | $933.25 | $1,122.02 |
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 $812.83 Median $954.99 Typical High $1,348.96 | Professional | None | $812.83 | $954.99 | $1,348.96 |
Oscar Health Setting Professional Modifier None Typical Low $398.11 Median $741.31 Typical High $933.25 | Professional | None | $398.11 | $741.31 | $933.25 |
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 $407.38 Median $616.60 Typical High $1,122.02 | Professional | None | $407.38 | $616.60 | $1,122.02 |
Wellmark Setting Professional Modifier None Typical Low $812.83 Median $812.83 Typical High $954.99 | Professional | None | $812.83 | $812.83 | $954.99 |
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 $281.84 Median $478.63 Typical High $478.63 | Professional | 54 · Surgery only | $281.84 | $478.63 | $478.63 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $263.03 Median $446.68 Typical High $446.68 | Professional | 78 · Unplanned return to OR | $263.03 | $446.68 | $446.68 |
Where Iowa sits
The same service costs 5.1 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 $6,741MT $1,322
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.