How much rates vary
Facilitymedian $3,467 · 10th to 90th $562 to $11,482Professionalmedian $2,455 · 10th to 90th $1,380 to $8,128
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 $4,365.16 Median $7,244.36 Typical High $17,378.01 | Facility | None | $4,365.16 | $7,244.36 | $17,378.01 |
Aetna Setting Professional Modifier None Typical Low $977.24 Median $977.24 Typical High $2,570.40 | Professional | None | $977.24 | $977.24 | $2,570.40 |
Ambetter Setting Professional Modifier None Typical Low $1,479.11 Median $1,479.11 Typical High $1,479.11 | Professional | None | $1,479.11 | $1,479.11 | $1,479.11 |
BCBS Nebraska Setting Facility Modifier None Typical Low $7,413.10 Median $9,772.37 Typical High $19,952.62 | Facility | None | $7,413.10 | $9,772.37 | $19,952.62 |
Cigna Setting Professional Modifier None Typical Low $1,819.70 Median $2,511.89 Typical High $3,090.30 | Professional | None | $1,819.70 | $2,511.89 | $3,090.30 |
Medica Setting Facility Modifier None Typical Low $489.78 Median $1,000.00 Typical High $4,365.16 | Facility | None | $489.78 | $1,000.00 | $4,365.16 |
Medica Setting Professional Modifier None Typical Low $1,548.82 Median $2,570.40 Typical High $8,128.31 | Professional | None | $1,548.82 | $2,570.40 | $8,128.31 |
Midlands Setting Professional Modifier None Typical Low $1,995.26 Median $2,511.89 Typical High $3,311.31 | Professional | None | $1,995.26 | $2,511.89 | $3,311.31 |
Midlands Setting Professional Modifier None Typical Low $1,995.26 Median $2,454.71 Typical High $3,311.31 | Professional | None | $1,995.26 | $2,454.71 | $3,311.31 |
United Setting Facility Modifier None Typical Low $489.78 Median $891.25 Typical High $3,801.89 | Facility | None | $489.78 | $891.25 | $3,801.89 |
United Setting Professional Modifier None Typical Low $1,548.82 Median $2,238.72 Typical High $2,884.03 | Professional | None | $1,548.82 | $2,238.72 | $2,884.03 |
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 $691.83 Median $691.83 Typical High $794.33 | Professional | 78 · Unplanned return to OR | $691.83 | $691.83 | $794.33 |
Where Nebraska 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.