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 $758.58 Median $758.58 Typical High $4,365.16 | Facility | None | $758.58 | $758.58 | $4,365.16 |
Aetna Setting Professional Modifier None Typical Low $676.08 Median $676.08 Typical High $758.58 | Professional | None | $676.08 | $676.08 | $758.58 |
Cigna Setting Facility Modifier None Typical Low $2,137.96 Median $2,137.96 Typical High $2,630.27 | Facility | None | $2,137.96 | $2,137.96 | $2,630.27 |
Cigna Setting Professional Modifier None Typical Low $2,398.83 Median $3,311.31 Typical High $4,265.80 | Professional | None | $2,398.83 | $3,311.31 | $4,265.80 |
Medica Setting Facility Modifier None Typical Low $758.58 Median $1,023.29 Typical High $1,202.26 | Facility | None | $758.58 | $1,023.29 | $1,202.26 |
Medica Setting Professional Modifier None Typical Low $776.25 Median $1,778.28 Typical High $5,888.44 | Professional | None | $776.25 | $1,778.28 | $5,888.44 |
Midlands Setting Professional Modifier None Typical Low $1,778.28 Median $3,311.31 Typical High $3,311.31 | Professional | None | $1,778.28 | $3,311.31 | $3,311.31 |
Midlands Setting Professional Modifier None Typical Low $1,584.89 Median $1,584.89 Typical High $1,584.89 | Professional | None | $1,584.89 | $1,584.89 | $1,584.89 |
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 $707.95 Median $1,348.96 Typical High $1,862.09 | Professional | None | $707.95 | $1,348.96 | $1,862.09 |
Wellmark Setting Professional Modifier None Typical Low $3,801.89 Median $4,365.16 Typical High $4,365.16 | Professional | None | $3,801.89 | $4,365.16 | $4,365.16 |
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 $501.19 Median $501.19 Typical High $562.34 | Professional | 54 · Surgery only | $501.19 | $501.19 | $562.34 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $467.74 Median $467.74 Typical High $524.81 | Professional | 78 · Unplanned return to OR | $467.74 | $467.74 | $524.81 |
Where South Dakota sits
The same service costs 7.9 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· 3rd of 51
$2,692
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.