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 $549.54 Median $3,548.13 Typical High $4,365.16 | Facility | None | $549.54 | $3,548.13 | $4,365.16 |
Aetna Setting Professional Modifier None Typical Low $478.63 Median $478.63 Typical High $549.54 | Professional | None | $478.63 | $478.63 | $549.54 |
Cigna Setting Facility Modifier None Typical Low $2,137.96 Median $2,630.27 Typical High $6,918.31 | Facility | None | $2,137.96 | $2,630.27 | $6,918.31 |
Cigna Setting Professional Modifier None Typical Low $891.25 Median $2,691.53 Typical High $4,265.80 | Professional | None | $891.25 | $2,691.53 | $4,265.80 |
Medica Setting Facility Modifier None Typical Low $691.83 Median $1,318.26 Typical High $3,311.31 | Facility | None | $691.83 | $1,318.26 | $3,311.31 |
Medica Setting Professional Modifier None Typical Low $758.58 Median $1,479.11 Typical High $4,265.80 | Professional | None | $758.58 | $1,479.11 | $4,265.80 |
Midlands Setting Professional Modifier None Typical Low $891.25 Median $891.25 Typical High $1,202.26 | Professional | None | $891.25 | $891.25 | $1,202.26 |
Midlands Setting Facility Modifier None Typical Low $6,918.31 Median $6,918.31 Typical High $8,317.64 | Facility | None | $6,918.31 | $6,918.31 | $8,317.64 |
Midlands Setting Professional Modifier None Typical Low $1,148.15 Median $1,148.15 Typical High $1,148.15 | Professional | None | $1,148.15 | $1,148.15 | $1,148.15 |
United Setting Facility Modifier None Typical Low $2,818.38 Median $2,818.38 Typical High $3,311.31 | Facility | None | $2,818.38 | $2,818.38 | $3,311.31 |
United Setting Professional Modifier None Typical Low $562.34 Median $1,479.11 Typical High $2,089.30 | Professional | None | $562.34 | $1,479.11 | $2,089.30 |
Wellmark Setting Professional Modifier None Typical Low $3,548.13 Median $4,168.69 Typical High $4,168.69 | Professional | None | $3,548.13 | $4,168.69 | $4,168.69 |
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 $354.81 Median $363.08 Typical High $407.38 | Professional | 54 · Surgery only | $354.81 | $363.08 | $407.38 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $331.13 Median $338.84 Typical High $380.19 | Professional | 78 · Unplanned return to OR | $331.13 | $338.84 | $380.19 |
Where South Dakota 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.
South Dakota· 5th of 51
$1,738
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.