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 $758.58 Median $2,511.89 Typical High $7,585.78 | Facility | None | $758.58 | $2,511.89 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $407.38 Median $812.83 Typical High $977.24 | Professional | None | $407.38 | $812.83 | $977.24 |
Cigna Setting Facility Modifier None Typical Low $812.83 Median $977.24 Typical High $1,412.54 | Facility | None | $812.83 | $977.24 | $1,412.54 |
Cigna Setting Professional Modifier None Typical Low $416.87 Median $549.54 Typical High $1,047.13 | Professional | None | $416.87 | $549.54 | $1,047.13 |
Medica Setting Facility Modifier None Typical Low $575.44 Median $1,513.56 Typical High $5,495.41 | Facility | None | $575.44 | $1,513.56 | $5,495.41 |
Medica Setting Professional Modifier None Typical Low $912.01 Median $4,786.30 Typical High $15,488.17 | Professional | None | $912.01 | $4,786.30 | $15,488.17 |
United Setting Facility Modifier None Typical Low $933.25 Median $2,951.21 Typical High $6,309.57 | Facility | None | $933.25 | $2,951.21 | $6,309.57 |
United Setting Professional Modifier None Typical Low $323.59 Median $707.95 Typical High $2,884.03 | Professional | None | $323.59 | $707.95 | $2,884.03 |
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 $741.31 | Professional | 54 · Surgery only | $302.00 | $616.60 | $741.31 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $281.84 Median $575.44 Typical High $691.83 | Professional | 78 · Unplanned return to OR | $281.84 | $575.44 | $691.83 |
Where Oklahoma 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.
Oklahoma· 21st of 51
$977
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.