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 $2,818.38 Median $2,818.38 Typical High $2,818.38 | Facility | None | $2,818.38 | $2,818.38 | $2,818.38 |
Aetna Setting Professional Modifier None Typical Low $489.78 Median $660.69 Typical High $1,000.00 | Professional | None | $489.78 | $660.69 | $1,000.00 |
Cigna Setting Professional Modifier None Typical Low $524.81 Median $977.24 Typical High $1,737.80 | Professional | None | $524.81 | $977.24 | $1,737.80 |
Kaiser Permanente Setting Professional Modifier None Typical Low $645.65 Median $776.25 Typical High $977.24 | Professional | None | $645.65 | $776.25 | $977.24 |
United Setting Facility Modifier None Typical Low $1,148.15 Median $1,202.26 Typical High $2,511.89 | Facility | None | $1,148.15 | $1,202.26 | $2,511.89 |
United Setting Professional Modifier None Typical Low $812.83 Median $1,445.44 Typical High $1,445.44 | Professional | None | $812.83 | $1,445.44 | $1,445.44 |
University Health Alliance Setting Professional Modifier None Typical Low $97.72 Median $776.25 Typical High $776.25 | Professional | None | $97.72 | $776.25 | $776.25 |
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 $371.54 Median $489.78 Typical High $758.58 | Professional | 54 · Surgery only | $371.54 | $489.78 | $758.58 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $346.74 Median $457.09 Typical High $707.95 | Professional | 78 · Unplanned return to OR | $346.74 | $457.09 | $707.95 |
Where Hawaii sits
The same service costs 8.5 times more in Alaska 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.
Hawaii· 36th of 51
$776
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.