How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $4,466.84 Typical High $4,466.84 | Facility | None | $1,778.28 | $4,466.84 | $4,466.84 |
Aetna Setting Professional Modifier None Typical Low $1,778.28 Median $1,995.26 Typical High $2,951.21 | Professional | None | $1,778.28 | $1,995.26 | $2,951.21 |
Cigna Setting Professional Modifier None Typical Low $2,344.23 Median $2,344.23 Typical High $2,344.23 | Professional | None | $2,344.23 | $2,344.23 | $2,344.23 |
HMSA Setting Professional Modifier None Typical Low $2,344.23 Median $2,754.23 Typical High $3,019.95 | Professional | None | $2,344.23 | $2,754.23 | $3,019.95 |
HMSA Setting Professional Modifier 51 · Multiple procedures Typical Low $1,174.90 Median $1,380.38 Typical High $1,513.56 | Professional | 51 · Multiple procedures | $1,174.90 | $1,380.38 | $1,513.56 |
HMSA Setting Professional Modifier AS · PA/NP assist Typical Low $398.11 Median $467.74 Typical High $512.86 | Professional | AS · PA/NP assist | $398.11 | $467.74 | $512.86 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,778.28 Median $2,137.96 Typical High $2,691.53 | Professional | None | $1,778.28 | $2,137.96 | $2,691.53 |
United Setting Facility Modifier None Typical Low $1,148.15 Median $1,202.26 Typical High $2,511.89 | Facility | None | $1,148.15 | $1,202.26 | $2,511.89 |
United Setting Professional Modifier None Typical Low $2,344.23 Median $2,344.23 Typical High $2,398.83 | Professional | None | $2,344.23 | $2,344.23 | $2,398.83 |
University Health Alliance Setting Professional Modifier None Typical Low $323.59 Median $2,570.40 Typical High $2,570.40 | Professional | None | $323.59 | $2,570.40 | $2,570.40 |
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 $1,230.27 Median $1,348.96 Typical High $2,089.30 | Professional | 78 · Unplanned return to OR | $1,230.27 | $1,348.96 | $2,089.30 |
Where Hawaii sits
The same service costs 20.9 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.
Hawaii· 25th of 51
$2,512
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.