How much rates vary
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 $1,148.15 Median $4,365.16 Typical High $13,182.57 | Facility | None | $1,148.15 | $4,365.16 | $13,182.57 |
Aetna Setting Professional Modifier None Typical Low $229.09 Median $281.84 Typical High $323.59 | Professional | None | $229.09 | $281.84 | $323.59 |
Cigna Setting Facility Modifier None Typical Low $190.55 Median $223.87 Typical High $1,122.02 | Facility | None | $190.55 | $223.87 | $1,122.02 |
Cigna Setting Professional Modifier None Typical Low $269.15 Median $338.84 Typical High $398.11 | Professional | None | $269.15 | $338.84 | $398.11 |
Medica Setting Facility Modifier None Typical Low $288.40 Median $457.09 Typical High $6,760.83 | Facility | None | $288.40 | $457.09 | $6,760.83 |
Medica Setting Professional Modifier None Typical Low $288.40 Median $1,698.24 Typical High $2,344.23 | Professional | None | $288.40 | $1,698.24 | $2,344.23 |
United Setting Facility Modifier None Typical Low $1,202.26 Median $3,715.35 Typical High $8,511.38 | Facility | None | $1,202.26 | $3,715.35 | $8,511.38 |
United Setting Professional Modifier None Typical Low $194.98 Median $275.42 Typical High $407.38 | Professional | None | $194.98 | $275.42 | $407.38 |
1 more rate 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 78 · Unplanned return to OR Typical Low $162.18 Median $162.18 Typical High $223.87 | Professional | 78 · Unplanned return to OR | $162.18 | $162.18 | $223.87 |
Where Oklahoma sits
The same service costs 5.0 times more in Alaska than in Texas. 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.
Oklahoma· 23rd of 51
$363
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.