How much rates vary
Facilitymedian $3,162 · 10th to 90th $631 to $10,233Professionalmedian $741 · 10th to 90th $83 to $1,259
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 $1,445.44 Median $4,570.88 Typical High $8,912.51 | Facility | None | $1,445.44 | $4,570.88 | $8,912.51 |
Aetna Setting Professional Modifier None Typical Low $1,096.48 Median $1,445.44 Typical High $1,548.82 | Professional | None | $1,096.48 | $1,445.44 | $1,548.82 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $630.96 Typical High $630.96 | Facility | None | $630.96 | $630.96 | $630.96 |
Cigna Setting Professional Modifier None Typical Low $1,258.93 Median $1,348.96 Typical High $1,819.70 | Professional | None | $1,258.93 | $1,348.96 | $1,819.70 |
Molina Setting Professional Modifier None Typical Low $83.18 Median $724.44 Typical High $933.25 | Professional | None | $83.18 | $724.44 | $933.25 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,348.96 Median $1,584.89 Typical High $1,778.28 | Professional | None | $1,348.96 | $1,584.89 | $1,778.28 |
Select Health Setting Facility Modifier None Typical Low $2,089.30 Median $2,089.30 Typical High $2,089.30 | Facility | None | $2,089.30 | $2,089.30 | $2,089.30 |
Select Health Setting Professional Modifier None Typical Low $1,148.15 Median $1,862.09 Typical High $2,187.76 | Professional | None | $1,148.15 | $1,862.09 | $2,187.76 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $912.01 Median $1,584.89 Typical High $3,388.44 | Professional | None | $912.01 | $1,584.89 | $3,388.44 |
United Setting Facility Modifier None Typical Low $199.53 Median $2,951.21 Typical High $13,803.84 | Facility | None | $199.53 | $2,951.21 | $13,803.84 |
United Setting Professional Modifier None Typical Low $977.24 Median $1,122.02 Typical High $1,995.26 | Professional | None | $977.24 | $1,122.02 | $1,995.26 |
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 $776.25 Median $1,023.29 Typical High $1,023.29 | Professional | 78 · Unplanned return to OR | $776.25 | $1,023.29 | $1,023.29 |
Where Utah 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.