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 $1,000.00 Median $3,162.28 Typical High $8,317.64 | Facility | None | $1,000.00 | $3,162.28 | $8,317.64 |
Aetna Setting Professional Modifier None Typical Low $660.69 Median $707.95 Typical High $831.76 | Professional | None | $660.69 | $707.95 | $831.76 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $4,168.69 Typical High $4,897.79 | Facility | None | $630.96 | $4,168.69 | $4,897.79 |
Cigna Setting Professional Modifier None Typical Low $630.96 Median $741.31 Typical High $851.14 | Professional | None | $630.96 | $741.31 | $851.14 |
Medica Setting Facility Modifier None Typical Low $741.31 Median $1,862.09 Typical High $9,332.54 | Facility | None | $741.31 | $1,862.09 | $9,332.54 |
Medica Setting Professional Modifier None Typical Low $588.84 Median $758.58 Typical High $4,897.79 | Professional | None | $588.84 | $758.58 | $4,897.79 |
United Setting Facility Modifier None Typical Low $1,621.81 Median $5,754.40 Typical High $10,964.78 | Facility | None | $1,621.81 | $5,754.40 | $10,964.78 |
United Setting Professional Modifier None Typical Low $549.54 Median $676.08 Typical High $1,000.00 | Professional | None | $549.54 | $676.08 | $1,000.00 |
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 $489.78 Median $537.03 Typical High $537.03 | Professional | 54 · Surgery only | $489.78 | $537.03 | $537.03 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $457.09 Median $501.19 Typical High $501.19 | Professional | 78 · Unplanned return to OR | $457.09 | $501.19 | $501.19 |
Where Oklahoma 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.
Oklahoma· 31st of 51
$741
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.