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 $1,778.28 Median $4,466.84 Typical High $4,466.84 | Facility | None | $1,778.28 | $4,466.84 | $4,466.84 |
Aetna Setting Professional Modifier None Typical Low $416.87 Median $549.54 Typical High $758.58 | Professional | None | $416.87 | $549.54 | $758.58 |
Cigna Setting Facility Modifier None Typical Low $3,801.89 Median $3,801.89 Typical High $3,801.89 | Facility | None | $3,801.89 | $3,801.89 | $3,801.89 |
Cigna Setting Professional Modifier None Typical Low $478.63 Median $851.14 Typical High $1,412.54 | Professional | None | $478.63 | $851.14 | $1,412.54 |
Kaiser Permanente Setting Professional Modifier None Typical Low $323.59 Median $389.05 Typical High $478.63 | Professional | None | $323.59 | $389.05 | $478.63 |
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 $602.56 Median $1,445.44 Typical High $1,445.44 | Professional | None | $602.56 | $1,445.44 | $1,445.44 |
University Health Alliance Setting Professional Modifier None Typical Low $346.74 Median $380.19 Typical High $380.19 | Professional | None | $346.74 | $380.19 | $380.19 |
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 $309.03 Median $416.87 Typical High $616.60 | Professional | 54 · Surgery only | $309.03 | $416.87 | $616.60 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $288.40 Median $389.05 Typical High $575.44 | Professional | 78 · Unplanned return to OR | $288.40 | $389.05 | $575.44 |
Where Hawaii sits
The same service costs 5.9 times more in Alaska than in Hawaii. 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· 51st of 51
$398
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.