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 $416.87 Median $1,047.13 Typical High $7,762.47 | Facility | None | $416.87 | $1,047.13 | $7,762.47 |
Aetna Setting Professional Modifier None Typical Low $398.11 Median $812.83 Typical High $1,318.26 | Professional | None | $398.11 | $812.83 | $1,318.26 |
Cigna Setting Facility Modifier None Typical Low $912.01 Median $1,071.52 Typical High $2,290.87 | Facility | None | $912.01 | $1,071.52 | $2,290.87 |
Cigna Setting Professional Modifier None Typical Low $446.68 Median $645.65 Typical High $4,570.88 | Professional | None | $446.68 | $645.65 | $4,570.88 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $741.31 Typical High $1,230.27 | Professional | None | $33.11 | $741.31 | $1,230.27 |
Providence Setting Facility Modifier None Typical Low $912.01 Median $1,096.48 Typical High $4,365.16 | Facility | None | $912.01 | $1,096.48 | $4,365.16 |
Providence Setting Professional Modifier None Typical Low $457.09 Median $676.08 Typical High $4,570.88 | Professional | None | $457.09 | $676.08 | $4,570.88 |
United Setting Facility Modifier None Typical Low $1,047.13 Median $2,344.23 Typical High $7,585.78 | Facility | None | $1,047.13 | $2,344.23 | $7,585.78 |
United Setting Professional Modifier None Typical Low $457.09 Median $912.01 Typical High $4,466.84 | Professional | None | $457.09 | $912.01 | $4,466.84 |
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 $302.00 Median $616.60 Typical High $977.24 | Professional | 54 · Surgery only | $302.00 | $616.60 | $977.24 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $281.84 Median $575.44 Typical High $912.01 | Professional | 78 · Unplanned return to OR | $281.84 | $575.44 | $912.01 |
Where New Mexico sits
The same service costs 4.5 times more in North Carolina than in Washington, DC. 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.
New Mexico· 42nd of 51
$776
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.