How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $1,513.56 Median $3,890.45 Typical High $3,890.45 | Facility | None | $1,513.56 | $3,890.45 | $3,890.45 |
Aetna Setting Professional Modifier None Typical Low $602.56 Median $676.08 Typical High $977.24 | Professional | None | $602.56 | $676.08 | $977.24 |
Cigna Setting Facility Modifier None Typical Low $1,445.44 Median $1,445.44 Typical High $1,445.44 | Facility | None | $1,445.44 | $1,445.44 | $1,445.44 |
Cigna Setting Professional Modifier None Typical Low $870.96 Median $870.96 Typical High $870.96 | Professional | None | $870.96 | $870.96 | $870.96 |
HMSA Setting Professional Modifier None Typical Low $851.14 Median $1,023.29 Typical High $1,122.02 | Professional | None | $851.14 | $1,023.29 | $1,122.02 |
HMSA Setting Professional Modifier 51 · Multiple procedures Typical Low $426.58 Median $501.19 Typical High $549.54 | Professional | 51 · Multiple procedures | $426.58 | $501.19 | $549.54 |
Kaiser Permanente Setting Professional Modifier None Typical Low $660.69 Median $794.33 Typical High $977.24 | Professional | None | $660.69 | $794.33 | $977.24 |
United Setting Facility Modifier None Typical Low $3,019.95 Median $3,548.13 Typical High $5,754.40 | Facility | None | $3,019.95 | $3,548.13 | $5,754.40 |
United Setting Professional Modifier None Typical Low $831.76 Median $870.96 Typical High $870.96 | Professional | None | $831.76 | $870.96 | $870.96 |
University Health Alliance Setting Professional Modifier None Typical Low $120.23 Median $630.96 Typical High $933.25 | Professional | None | $120.23 | $630.96 | $933.25 |
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 $457.09 Median $501.19 Typical High $724.44 | Professional | 54 · Surgery only | $457.09 | $501.19 | $724.44 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $426.58 Median $467.74 Typical High $676.08 | Professional | 78 · Unplanned return to OR | $426.58 | $467.74 | $676.08 |
Where Hawaii sits
The same service costs 24.0 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.
Hawaii· 24th of 51
$871
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.