How much rates vary
Facilitymedian $2,692 · 10th to 90th $1,175 to $7,079Professionalmedian $2,042 · 10th to 90th $1,148 to $2,951
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 $1,659.59 Median $4,265.80 Typical High $7,244.36 | Facility | None | $1,659.59 | $4,265.80 | $7,244.36 |
Aetna Setting Professional Modifier None Typical Low $954.99 Median $1,659.59 Typical High $1,659.59 | Professional | None | $954.99 | $1,659.59 | $1,659.59 |
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 $1,949.84 Median $2,344.23 Typical High $2,818.38 | Professional | None | $1,949.84 | $2,344.23 | $2,818.38 |
Hally Health Setting Professional Modifier None Typical Low $954.99 Median $1,230.27 Typical High $2,884.03 | Professional | None | $954.99 | $1,230.27 | $2,884.03 |
Medica Setting Facility Modifier None Typical Low $1,174.90 Median $2,454.71 Typical High $6,760.83 | Facility | None | $1,174.90 | $2,454.71 | $6,760.83 |
Medica Setting Professional Modifier None Typical Low $1,148.15 Median $2,290.87 Typical High $7,762.47 | Professional | None | $1,148.15 | $2,290.87 | $7,762.47 |
Midlands Setting Professional Modifier None Typical Low $1,995.26 Median $2,344.23 Typical High $2,754.23 | Professional | None | $1,995.26 | $2,344.23 | $2,754.23 |
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 $1,949.84 Median $2,344.23 Typical High $3,162.28 | Professional | None | $1,949.84 | $2,344.23 | $3,162.28 |
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 $1,047.13 Median $1,584.89 Typical High $2,884.03 | Professional | None | $1,047.13 | $1,584.89 | $2,884.03 |
Wellmark Setting Professional Modifier None Typical Low $1,995.26 Median $1,995.26 Typical High $2,344.23 | Professional | None | $1,995.26 | $1,995.26 | $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 $707.95 Median $1,230.27 Typical High $1,230.27 | Professional | 54 · Surgery only | $707.95 | $1,230.27 | $1,230.27 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $660.69 Median $1,148.15 Typical High $1,148.15 | Professional | 78 · Unplanned return to OR | $660.69 | $1,148.15 | $1,148.15 |
Where Iowa sits
The same service costs 3.7 times more in Alabama 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
AL $8,874MD $2,372
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.