How much rates vary
Facilitymedian $4,169 · 10th to 90th $1,738 to $15,136Professionalmedian $741 · 10th to 90th $72 to $1,259
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 $1,737.80 Median $3,162.28 Typical High $6,025.60 | Facility | None | $1,737.80 | $3,162.28 | $6,025.60 |
Aetna Setting Professional Modifier None Typical Low $1,096.48 Median $1,737.80 Typical High $2,454.71 | Professional | None | $1,096.48 | $1,737.80 | $2,454.71 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $630.96 Typical High $630.96 | Facility | None | $630.96 | $630.96 | $630.96 |
Cigna Setting Professional Modifier None Typical Low $1,288.25 Median $1,659.59 Typical High $1,862.09 | Professional | None | $1,288.25 | $1,659.59 | $1,862.09 |
Molina Setting Professional Modifier None Typical Low $70.79 Median $676.08 Typical High $912.01 | Professional | None | $70.79 | $676.08 | $912.01 |
Regence BlueShield Setting Professional Modifier None Typical Low $2,187.76 Median $2,630.27 Typical High $2,951.21 | Professional | None | $2,187.76 | $2,630.27 | $2,951.21 |
Select Health Setting Facility Modifier None Typical Low $3,019.95 Median $3,019.95 Typical High $3,019.95 | Facility | None | $3,019.95 | $3,019.95 | $3,019.95 |
Select Health Setting Professional Modifier None Typical Low $1,174.90 Median $2,691.53 Typical High $3,162.28 | Professional | None | $1,174.90 | $2,691.53 | $3,162.28 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $1,096.48 Median $1,584.89 Typical High $2,187.76 | Professional | None | $1,096.48 | $1,584.89 | $2,187.76 |
United Setting Facility Modifier None Typical Low $2,398.83 Median $8,511.38 Typical High $15,848.93 | Facility | None | $2,398.83 | $8,511.38 | $15,848.93 |
United Setting Professional Modifier None Typical Low $1,047.13 Median $1,202.26 Typical High $2,238.72 | Professional | None | $1,047.13 | $1,202.26 | $2,238.72 |
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 $891.25 Median $1,318.26 Typical High $1,318.26 | Professional | 54 · Surgery only | $891.25 | $1,318.26 | $1,318.26 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $831.76 Median $1,230.27 Typical High $1,230.27 | Professional | 78 · Unplanned return to OR | $831.76 | $1,230.27 | $1,230.27 |
Where Utah 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.