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 $660.69 Median $660.69 Typical High $4,365.16 | Facility | None | $660.69 | $660.69 | $4,365.16 |
Aetna Setting Professional Modifier None Typical Low $588.84 Median $588.84 Typical High $660.69 | Professional | None | $588.84 | $588.84 | $660.69 |
Cigna Setting Facility Modifier None Typical Low $1,862.09 Median $1,862.09 Typical High $2,290.87 | Facility | None | $1,862.09 | $1,862.09 | $2,290.87 |
Cigna Setting Professional Modifier None Typical Low $891.25 Median $2,344.23 Typical High $3,630.78 | Professional | None | $891.25 | $2,344.23 | $3,630.78 |
Medica Setting Facility Modifier None Typical Low $758.58 Median $912.01 Typical High $1,202.26 | Facility | None | $758.58 | $912.01 | $1,202.26 |
Medica Setting Professional Modifier None Typical Low $758.58 Median $1,258.93 Typical High $5,248.07 | Professional | None | $758.58 | $1,258.93 | $5,248.07 |
Midlands Setting Professional Modifier None Typical Low $891.25 Median $891.25 Typical High $1,621.81 | Professional | None | $891.25 | $891.25 | $1,621.81 |
Midlands Setting Professional Modifier None Typical Low $1,412.54 Median $1,412.54 Typical High $1,412.54 | Professional | None | $1,412.54 | $1,412.54 | $1,412.54 |
United Setting Facility Modifier None Typical Low $758.58 Median $758.58 Typical High $1,202.26 | Facility | None | $758.58 | $758.58 | $1,202.26 |
United Setting Professional Modifier None Typical Low $691.83 Median $1,258.93 Typical High $1,778.28 | Professional | None | $691.83 | $1,258.93 | $1,778.28 |
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 $446.68 Median $446.68 Typical High $501.19 | Professional | 54 · Surgery only | $446.68 | $446.68 | $501.19 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $416.87 Median $416.87 Typical High $467.74 | Professional | 78 · Unplanned return to OR | $416.87 | $416.87 | $467.74 |
Where South Dakota 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.
South Dakota· 8th of 51
$1,349
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.