How much rates vary
Facilitymedian $2,884 · 10th to 90th $724 to $6,607Professionalmedian $3,311 · 10th to 90th $1,698 to $4,786
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 $2,511.89 Median $4,265.80 Typical High $7,244.36 | Facility | None | $2,511.89 | $4,265.80 | $7,244.36 |
Aetna Setting Professional Modifier None Typical Low $1,380.38 Median $2,511.89 Typical High $2,511.89 | Professional | None | $1,380.38 | $2,511.89 | $2,511.89 |
Cigna Setting Professional Modifier None Typical Low $1,659.59 Median $3,388.44 Typical High $4,168.69 | Professional | None | $1,659.59 | $3,388.44 | $4,168.69 |
Hally Health Setting Professional Modifier None Typical Low $1,380.38 Median $2,344.23 Typical High $4,265.80 | Professional | None | $1,380.38 | $2,344.23 | $4,265.80 |
Medica Setting Facility Modifier None Typical Low $724.44 Median $2,754.23 Typical High $4,897.79 | Facility | None | $724.44 | $2,754.23 | $4,897.79 |
Medica Setting Professional Modifier None Typical Low $1,737.80 Median $3,311.31 Typical High $12,589.25 | Professional | None | $1,737.80 | $3,311.31 | $12,589.25 |
Midlands Setting Professional Modifier None Typical Low $3,388.44 Median $3,388.44 Typical High $4,168.69 | Professional | None | $3,388.44 | $3,388.44 | $4,168.69 |
Midlands Setting Professional Modifier None Typical Low $2,691.53 Median $3,801.89 Typical High $4,677.35 | Professional | None | $2,691.53 | $3,801.89 | $4,677.35 |
United Setting Facility Modifier None Typical Low $588.84 Median $2,344.23 Typical High $6,918.31 | Facility | None | $588.84 | $2,344.23 | $6,918.31 |
United Setting Professional Modifier None Typical Low $1,584.89 Median $2,187.76 Typical High $4,168.69 | Professional | None | $1,584.89 | $2,187.76 | $4,168.69 |
Wellmark Setting Professional Modifier None Typical Low $3,090.30 Median $3,090.30 Typical High $3,388.44 | Professional | None | $3,090.30 | $3,090.30 | $3,388.44 |
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 $977.24 Median $1,737.80 Typical High $1,737.80 | Professional | 78 · Unplanned return to OR | $977.24 | $1,737.80 | $1,737.80 |
Where Iowa sits
The same service costs 6.7 times more in Maine than in Maryland. 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 $14,298MD $2,147
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.