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 $1,348.96 Median $1,513.56 Typical High $2,290.87 | Professional | None | $1,348.96 | $1,513.56 | $2,290.87 |
Cigna 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 |
HMSA Setting Professional Modifier None Typical Low $1,819.70 Median $2,137.96 Typical High $2,344.23 | Professional | None | $1,819.70 | $2,137.96 | $2,344.23 |
HMSA Setting Professional Modifier 51 · Multiple procedures Typical Low $912.01 Median $1,071.52 Typical High $1,174.90 | Professional | 51 · Multiple procedures | $912.01 | $1,071.52 | $1,174.90 |
HMSA Setting Professional Modifier AS · PA/NP assist Typical Low $309.03 Median $363.08 Typical High $398.11 | Professional | AS · PA/NP assist | $309.03 | $363.08 | $398.11 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,380.38 Median $1,659.59 Typical High $2,041.74 | Professional | None | $1,380.38 | $1,659.59 | $2,041.74 |
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 $1,819.70 Median $1,819.70 Typical High $1,862.09 | Professional | None | $1,819.70 | $1,819.70 | $1,862.09 |
University Health Alliance Setting Professional Modifier None Typical Low $251.19 Median $1,995.26 Typical High $1,995.26 | Professional | None | $251.19 | $1,995.26 | $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 $954.99 Median $1,047.13 Typical High $1,621.81 | Professional | 78 · Unplanned return to OR | $954.99 | $1,047.13 | $1,621.81 |
Where Hawaii sits
The same service costs 22.9 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· 24th of 51
$1,950
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.