How much rates vary
Facilitymedian $2,754 · 10th to 90th $724 to $6,607Professionalmedian $2,399 · 10th to 90th $1,202 to $3,388
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 $1,778.28 Median $4,265.80 Typical High $7,585.78 | Facility | None | $1,778.28 | $4,265.80 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $1,000.00 Median $1,778.28 Typical High $2,398.83 | Professional | None | $1,000.00 | $1,778.28 | $2,398.83 |
Cigna Setting Professional Modifier None Typical Low $1,174.90 Median $2,454.71 Typical High $3,019.95 | Professional | None | $1,174.90 | $2,454.71 | $3,019.95 |
Hally Health Setting Professional Modifier None Typical Low $1,000.00 Median $1,621.81 Typical High $3,311.31 | Professional | None | $1,000.00 | $1,621.81 | $3,311.31 |
Medica Setting Facility Modifier None Typical Low $724.44 Median $2,290.87 Typical High $4,897.79 | Facility | None | $724.44 | $2,290.87 | $4,897.79 |
Medica Setting Professional Modifier None Typical Low $1,258.93 Median $2,398.83 Typical High $8,128.31 | Professional | None | $1,258.93 | $2,398.83 | $8,128.31 |
Midlands Setting Professional Modifier None Typical Low $2,454.71 Median $2,454.71 Typical High $3,019.95 | Professional | None | $2,454.71 | $2,454.71 | $3,019.95 |
Midlands Setting Professional Modifier None Typical Low $1,995.26 Median $2,691.53 Typical High $3,388.44 | Professional | None | $1,995.26 | $2,691.53 | $3,388.44 |
Oscar Health Setting Professional Modifier None Typical Low $1,047.13 Median $1,995.26 Typical High $2,511.89 | Professional | None | $1,047.13 | $1,995.26 | $2,511.89 |
United Setting Facility Modifier None Typical Low $588.84 Median $2,344.23 Typical High $6,918.31 | Facility | None | $588.84 | $2,344.23 | $6,918.31 |
United Setting Professional Modifier None Typical Low $1,148.15 Median $1,548.82 Typical High $3,019.95 | Professional | None | $1,148.15 | $1,548.82 | $3,019.95 |
Wellmark Setting Professional Modifier None Typical Low $2,238.72 Median $2,238.72 Typical High $2,511.89 | Professional | None | $2,238.72 | $2,238.72 | $2,511.89 |
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 $707.95 Median $1,258.93 Typical High $1,258.93 | Professional | 78 · Unplanned return to OR | $707.95 | $1,258.93 | $1,258.93 |
Where Iowa sits
The same service costs 15.9 times more in Maine than in Maryland. 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.
Physician feeFacility fee
ME $27,116MD $1,710
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.