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 $1,288.25 Median $3,890.45 Typical High $18,620.87 | Facility | None | $1,288.25 | $3,890.45 | $18,620.87 |
Aetna Setting Professional Modifier None Typical Low $2,137.96 Median $2,398.83 Typical High $2,511.89 | Professional | None | $2,137.96 | $2,398.83 | $2,511.89 |
BCBS Setting Professional Modifier None Typical Low $2,187.76 Median $2,951.21 Typical High $3,801.89 | Professional | None | $2,187.76 | $2,951.21 | $3,801.89 |
Cigna Setting Facility Modifier None Typical Low $549.54 Median $891.25 Typical High $1,258.93 | Facility | None | $549.54 | $891.25 | $1,258.93 |
Cigna Setting Professional Modifier None Typical Low $2,290.87 Median $2,691.53 Typical High $3,019.95 | Professional | None | $2,290.87 | $2,691.53 | $3,019.95 |
Medica Setting Facility Modifier None Typical Low $398.11 Median $2,951.21 Typical High $5,888.44 | Facility | None | $398.11 | $2,951.21 | $5,888.44 |
Medica Setting Professional Modifier None Typical Low $2,041.74 Median $2,630.27 Typical High $18,620.87 | Professional | None | $2,041.74 | $2,630.27 | $18,620.87 |
United Setting Facility Modifier None Typical Low $426.58 Median $1,995.26 Typical High $6,025.60 | Facility | None | $426.58 | $1,995.26 | $6,025.60 |
United Setting Professional Modifier None Typical Low $1,905.46 Median $2,344.23 Typical High $3,467.37 | Professional | None | $1,905.46 | $2,344.23 | $3,467.37 |
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 $1,584.89 Median $1,819.70 Typical High $1,819.70 | Professional | 54 · Surgery only | $1,584.89 | $1,819.70 | $1,819.70 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,479.11 Median $1,698.24 Typical High $1,698.24 | Professional | 78 · Unplanned return to OR | $1,479.11 | $1,698.24 | $1,698.24 |
Where Oklahoma sits
The same service costs 21.9 times more in Alaska than in Texas. 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· 28th of 51
$2,630
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.