How much rates vary
Facilitymedian $5,129 · 10th to 90th $1,585 to $14,125Professionalmedian $2,399 · 10th to 90th $1,230 to $3,631
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 $1,778.28 Median $5,888.44 Typical High $7,943.28 | Facility | None | $1,778.28 | $5,888.44 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $1,000.00 Median $1,778.28 Typical High $2,344.23 | Professional | None | $1,000.00 | $1,778.28 | $2,344.23 |
Cigna Setting Professional Modifier None Typical Low $1,258.93 Median $2,454.71 Typical High $2,951.21 | Professional | None | $1,258.93 | $2,454.71 | $2,951.21 |
Hally Health Setting Professional Modifier None Typical Low $1,000.00 Median $1,445.44 Typical High $7,244.36 | Professional | None | $1,000.00 | $1,445.44 | $7,244.36 |
Medica Setting Facility Modifier None Typical Low $1,584.89 Median $3,235.94 Typical High $13,489.63 | Facility | None | $1,584.89 | $3,235.94 | $13,489.63 |
Medica Setting Professional Modifier None Typical Low $1,348.96 Median $2,398.83 Typical High $7,943.28 | Professional | None | $1,348.96 | $2,398.83 | $7,943.28 |
Midlands Setting Professional Modifier None Typical Low $2,344.23 Median $2,454.71 Typical High $3,019.95 | Professional | None | $2,344.23 | $2,454.71 | $3,019.95 |
Midlands Setting Professional Modifier None Typical Low $2,187.76 Median $2,691.53 Typical High $3,467.37 | Professional | None | $2,187.76 | $2,691.53 | $3,467.37 |
United Setting Facility Modifier None Typical Low $1,819.70 Median $6,025.60 Typical High $15,135.61 | Facility | None | $1,819.70 | $6,025.60 | $15,135.61 |
United Setting Professional Modifier None Typical Low $1,148.15 Median $1,778.28 Typical High $3,090.30 | Professional | None | $1,148.15 | $1,778.28 | $3,090.30 |
Wellmark Setting Professional Modifier None Typical Low $2,187.76 Median $2,187.76 Typical High $2,454.71 | Professional | None | $2,187.76 | $2,187.76 | $2,454.71 |
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 $758.58 Median $1,348.96 Typical High $1,348.96 | Professional | 54 · Surgery only | $758.58 | $1,348.96 | $1,348.96 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $707.95 Median $1,258.93 Typical High $1,258.93 | Professional | 78 · Unplanned return to OR | $707.95 | $1,258.93 | $1,258.93 |
Where Iowa sits
The same service costs 8.7 times more in Maine than in Kentucky. 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.
Physician feeFacility fee
ME $27,149KY $3,127
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.