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 $977.24 Median $1,174.90 Typical High $1,737.80 | Professional | None | $977.24 | $1,174.90 | $1,737.80 |
Cigna Setting Professional Modifier None Typical Low $1,380.38 Median $1,380.38 Typical High $1,380.38 | Professional | None | $1,380.38 | $1,380.38 | $1,380.38 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,047.13 Median $1,258.93 Typical High $1,548.82 | Professional | None | $1,047.13 | $1,258.93 | $1,548.82 |
United Setting Facility Modifier None Typical Low $2,238.72 Median $3,019.95 Typical High $3,890.45 | Facility | None | $2,238.72 | $3,019.95 | $3,890.45 |
United Setting Professional Modifier None Typical Low $1,380.38 Median $1,380.38 Typical High $1,412.54 | Professional | None | $1,380.38 | $1,380.38 | $1,412.54 |
University Health Alliance Setting Professional Modifier None Typical Low $190.55 Median $1,513.56 Typical High $1,513.56 | Professional | None | $190.55 | $1,513.56 | $1,513.56 |
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 $707.95 Median $794.33 Typical High $1,202.26 | Professional | 78 · Unplanned return to OR | $707.95 | $794.33 | $1,202.26 |
Where Hawaii sits
The same service costs 5.4 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· 29th of 51
$1,380
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.