How much rates vary
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 $602.56 Median $2,951.21 Typical High $6,760.83 | Facility | None | $602.56 | $2,951.21 | $6,760.83 |
Aetna Setting Professional Modifier None Typical Low $309.03 Median $549.54 Typical High $741.31 | Professional | None | $309.03 | $549.54 | $741.31 |
Cigna Setting Facility Modifier None Typical Low $380.19 Median $1,737.80 Typical High $2,630.27 | Facility | None | $380.19 | $1,737.80 | $2,630.27 |
Cigna Setting Professional Modifier None Typical Low $338.84 Median $758.58 Typical High $912.01 | Professional | None | $338.84 | $758.58 | $912.01 |
Hally Health Setting Professional Modifier None Typical Low $309.03 Median $446.68 Typical High $1,071.52 | Professional | None | $309.03 | $446.68 | $1,071.52 |
Medica Setting Facility Modifier None Typical Low $489.78 Median $1,479.11 Typical High $5,248.07 | Facility | None | $489.78 | $1,479.11 | $5,248.07 |
Medica Setting Professional Modifier None Typical Low $363.08 Median $741.31 Typical High $2,454.71 | Professional | None | $363.08 | $741.31 | $2,454.71 |
Midlands Setting Professional Modifier None Typical Low $741.31 Median $758.58 Typical High $912.01 | Professional | None | $741.31 | $758.58 | $912.01 |
Midlands Setting Facility Modifier None Typical Low $380.19 Median $1,737.80 Typical High $2,630.27 | Facility | None | $380.19 | $1,737.80 | $2,630.27 |
Midlands Setting Professional Modifier None Typical Low $630.96 Median $831.76 Typical High $954.99 | Professional | None | $630.96 | $831.76 | $954.99 |
United Setting Facility Modifier None Typical Low $724.44 Median $3,090.30 Typical High $6,165.95 | Facility | None | $724.44 | $3,090.30 | $6,165.95 |
United Setting Professional Modifier None Typical Low $338.84 Median $457.09 Typical High $891.25 | Professional | None | $338.84 | $457.09 | $891.25 |
Wellmark Setting Professional Modifier None Typical Low $741.31 Median $741.31 Typical High $831.76 | Professional | None | $741.31 | $741.31 | $831.76 |
1 more rate 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 78 · Unplanned return to OR Typical Low $208.93 Median $389.05 Typical High $389.05 | Professional | 78 · Unplanned return to OR | $208.93 | $389.05 | $389.05 |
Where Iowa sits
The same service costs 5.2 times more in Alaska than in Utah. 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.
Iowa· 6th of 51
$741
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.