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 $758.58 Median $2,570.40 Typical High $7,585.78 | Facility | None | $758.58 | $2,570.40 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $323.59 Median $354.81 Typical High $398.11 | Professional | None | $323.59 | $354.81 | $398.11 |
Cigna Setting Facility Modifier None Typical Low $407.38 Median $1,258.93 Typical High $1,659.59 | Facility | None | $407.38 | $1,258.93 | $1,659.59 |
Cigna Setting Professional Modifier None Typical Low $323.59 Median $398.11 Typical High $436.52 | Professional | None | $323.59 | $398.11 | $436.52 |
Medica Setting Facility Modifier None Typical Low $426.58 Median $645.65 Typical High $4,073.80 | Facility | None | $426.58 | $645.65 | $4,073.80 |
Medica Setting Professional Modifier None Typical Low $288.40 Median $380.19 Typical High $2,454.71 | Professional | None | $288.40 | $380.19 | $2,454.71 |
United Setting Facility Modifier None Typical Low $467.74 Median $2,041.74 Typical High $4,265.80 | Facility | None | $467.74 | $2,041.74 | $4,265.80 |
United Setting Professional Modifier None Typical Low $275.42 Median $346.74 Typical High $512.86 | Professional | None | $275.42 | $346.74 | $512.86 |
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 $223.87 Median $251.19 Typical High $251.19 | Professional | 78 · Unplanned return to OR | $223.87 | $251.19 | $251.19 |
Where Oklahoma 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.
Oklahoma· 30th of 51
$398
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.