How much rates vary
Facilitymedian $2,884 · 10th to 90th $631 to $10,471Professionalmedian $295 · 10th to 90th $33 to $2,042
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 $1,258.93 Median $3,715.35 Typical High $10,000.00 | Facility | None | $1,258.93 | $3,715.35 | $10,000.00 |
Aetna Setting Professional Modifier None Typical Low $1,862.09 Median $1,995.26 Typical High $2,754.23 | Professional | None | $1,862.09 | $1,995.26 | $2,754.23 |
Ambetter Setting Professional Modifier None Typical Low $1,737.80 Median $1,737.80 Typical High $1,819.70 | Professional | None | $1,737.80 | $1,737.80 | $1,819.70 |
BCBS Texas Setting Facility Modifier None Typical Low $2,041.74 Median $3,715.35 Typical High $10,715.19 | Facility | None | $2,041.74 | $3,715.35 | $10,715.19 |
BCBS Texas Setting Professional Modifier None Typical Low $1,445.44 Median $2,089.30 Typical High $3,388.44 | Professional | None | $1,445.44 | $2,089.30 | $3,388.44 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $1,288.25 Typical High $2,691.53 | Facility | None | $630.96 | $1,288.25 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $1,584.89 Median $2,344.23 Typical High $2,951.21 | Professional | None | $1,584.89 | $2,344.23 | $2,951.21 |
Lucent Health Setting Professional Modifier None Typical Low $15,848.93 Median $15,848.93 Typical High $15,848.93 | Professional | None | $15,848.93 | $15,848.93 | $15,848.93 |
Moda Health Setting Facility Modifier None Typical Low $977.24 Median $3,311.31 Typical High $7,943.28 | Facility | None | $977.24 | $3,311.31 | $7,943.28 |
Moda Health Setting Professional Modifier None Typical Low $1,862.09 Median $1,995.26 Typical High $2,754.23 | Professional | None | $1,862.09 | $1,995.26 | $2,754.23 |
Molina Setting Professional Modifier None Typical Low $30.90 Median $257.04 Typical High $1,698.24 | Professional | None | $30.90 | $257.04 | $1,698.24 |
Oscar Health Setting Professional Modifier None Typical Low $2,089.30 Median $2,089.30 Typical High $2,187.76 | Professional | None | $2,089.30 | $2,089.30 | $2,187.76 |
Providence Setting Facility Modifier None Typical Low $794.33 Median $1,995.26 Typical High $251,188.64 | Facility | None | $794.33 | $1,995.26 | $251,188.64 |
Providence Setting Professional Modifier None Typical Low $1,584.89 Median $2,344.23 Typical High $2,884.03 | Professional | None | $1,584.89 | $2,344.23 | $2,884.03 |
United Setting Facility Modifier None Typical Low $407.38 Median $2,137.96 Typical High $8,912.51 | Facility | None | $407.38 | $2,137.96 | $8,912.51 |
United Setting Professional Modifier None Typical Low $1,548.82 Median $2,041.74 Typical High $2,884.03 | Professional | None | $1,548.82 | $2,041.74 | $2,884.03 |
Wellpoint Setting Professional Modifier None Typical Low $1,819.70 Median $1,819.70 Typical High $1,819.70 | Professional | None | $1,819.70 | $1,819.70 | $1,819.70 |
2 more rates 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 $1,318.26 Median $1,380.38 Typical High $1,621.81 | Professional | 78 · Unplanned return to OR | $1,318.26 | $1,380.38 | $1,621.81 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,318.26 Median $1,380.38 Typical High $1,479.11 | Professional | 78 · Unplanned return to OR | $1,318.26 | $1,380.38 | $1,479.11 |
Where Texas sits
The same service costs 5.7 times more in Maine than in Washington. 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 $14,873WA $2,596
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.