How much rates vary
Facilitymedian $3,162 · 10th to 90th $631 to $10,233Professionalmedian $1,230 · 10th to 90th $138 to $1,950
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 $2,630.27 Median $4,570.88 Typical High $8,912.51 | Facility | None | $2,630.27 | $4,570.88 | $8,912.51 |
Aetna Setting Professional Modifier None Typical Low $1,949.84 Median $2,630.27 Typical High $2,630.27 | Professional | None | $1,949.84 | $2,630.27 | $2,630.27 |
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 $2,238.72 Median $2,454.71 Typical High $3,235.94 | Professional | None | $2,238.72 | $2,454.71 | $3,235.94 |
Molina Setting Professional Modifier None Typical Low $138.04 Median $1,202.26 Typical High $1,584.89 | Professional | None | $138.04 | $1,202.26 | $1,584.89 |
Regence BlueShield Setting Professional Modifier None Typical Low $2,454.71 Median $2,754.23 Typical High $3,235.94 | Professional | None | $2,454.71 | $2,754.23 | $3,235.94 |
Select Health Setting Facility Modifier None Typical Low $3,630.78 Median $3,630.78 Typical High $3,630.78 | Facility | None | $3,630.78 | $3,630.78 | $3,630.78 |
Select Health Setting Professional Modifier None Typical Low $2,041.74 Median $3,235.94 Typical High $3,801.89 | Professional | None | $2,041.74 | $3,235.94 | $3,801.89 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $1,698.24 Median $2,951.21 Typical High $6,165.95 | Professional | None | $1,698.24 | $2,951.21 | $6,165.95 |
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 $1,737.80 Median $1,995.26 Typical High $3,630.78 | Professional | None | $1,737.80 | $1,995.26 | $3,630.78 |
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 $1,380.38 Median $1,819.70 Typical High $1,819.70 | Professional | 78 · Unplanned return to OR | $1,380.38 | $1,819.70 | $1,819.70 |
Where Utah 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.