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 $851.14 Median $977.24 Typical High $1,479.11 | Professional | None | $851.14 | $977.24 | $1,479.11 |
Cigna Setting Professional Modifier None Typical Low $1,174.90 Median $1,174.90 Typical High $1,174.90 | Professional | None | $1,174.90 | $1,174.90 | $1,174.90 |
Kaiser Permanente Setting Professional Modifier None Typical Low $891.25 Median $1,071.52 Typical High $1,318.26 | Professional | None | $891.25 | $1,071.52 | $1,318.26 |
United Setting Facility Modifier None Typical Low $3,467.37 Median $3,981.07 Typical High $10,232.93 | Facility | None | $3,467.37 | $3,981.07 | $10,232.93 |
United Setting Professional Modifier None Typical Low $1,174.90 Median $1,174.90 Typical High $1,202.26 | Professional | None | $1,174.90 | $1,174.90 | $1,202.26 |
University Health Alliance Setting Professional Modifier None Typical Low $158.49 Median $1,258.93 Typical High $1,258.93 | Professional | None | $158.49 | $1,258.93 | $1,258.93 |
1 more rate 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 78 · Unplanned return to OR Typical Low $602.56 Median $676.08 Typical High $1,047.13 | Professional | 78 · Unplanned return to OR | $602.56 | $676.08 | $1,047.13 |
Where Hawaii sits
The same service costs 5.6 times more in Alaska than in Utah. 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· 30th of 51
$1,175
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.