How much rates vary
Facilitymedian $1,479 · 10th to 90th $537 to $251,189Professionalmedian $1,380 · 10th to 90th $550 to $1,862
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 $1,000.00 Median $1,548.82 Typical High $8,709.64 | Facility | None | $1,000.00 | $1,548.82 | $8,709.64 |
Aetna Setting Professional Modifier None Typical Low $1,000.00 Median $1,621.81 Typical High $1,621.81 | Professional | None | $1,000.00 | $1,621.81 | $1,621.81 |
Ambetter Setting Professional Modifier None Typical Low $501.19 Median $501.19 Typical High $501.19 | Professional | None | $501.19 | $501.19 | $501.19 |
BCBS New Mexico Setting Professional Modifier None Typical Low $977.24 Median $1,318.26 Typical High $1,819.70 | Professional | None | $977.24 | $1,318.26 | $1,819.70 |
Cigna Setting Facility Modifier None Typical Low $537.03 Median $602.56 Typical High $707.95 | Facility | None | $537.03 | $602.56 | $707.95 |
Cigna Setting Professional Modifier None Typical Low $1,096.48 Median $1,318.26 Typical High $1,819.70 | Professional | None | $1,096.48 | $1,318.26 | $1,819.70 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $316.23 Typical High $1,584.89 | Professional | None | $33.11 | $316.23 | $1,584.89 |
Providence Setting Facility Modifier None Typical Low $602.56 Median $125,892.54 Typical High $251,188.64 | Facility | None | $602.56 | $125,892.54 | $251,188.64 |
Providence Setting Professional Modifier None Typical Low $1,202.26 Median $1,348.96 Typical High $1,862.09 | Professional | None | $1,202.26 | $1,348.96 | $1,862.09 |
United Setting Facility Modifier None Typical Low $407.38 Median $1,412.54 Typical High $10,471.29 | Facility | None | $407.38 | $1,412.54 | $10,471.29 |
United Setting Professional Modifier None Typical Low $1,096.48 Median $1,548.82 Typical High $2,137.96 | Professional | None | $1,096.48 | $1,548.82 | $2,137.96 |
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 $724.44 Median $1,122.02 Typical High $1,122.02 | Professional | 78 · Unplanned return to OR | $724.44 | $1,122.02 | $1,122.02 |
Where New Mexico 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.