How much rates vary
Facilitymedian $2,138 · 10th to 90th $457 to $6,310Professionalmedian $1,820 · 10th to 90th $1,349 to $12,589
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 $1,202.26 Median $4,365.16 Typical High $12,589.25 | Facility | None | $1,202.26 | $4,365.16 | $12,589.25 |
Aetna Setting Professional Modifier None Typical Low $1,479.11 Median $1,621.81 Typical High $1,698.24 | Professional | None | $1,479.11 | $1,621.81 | $1,698.24 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $1,659.59 Median $1,995.26 Typical High $2,818.38 | Professional | None | $1,659.59 | $1,995.26 | $2,818.38 |
Cigna Setting Facility Modifier None Typical Low $549.54 Median $891.25 Typical High $2,344.23 | Facility | None | $549.54 | $891.25 | $2,344.23 |
Cigna Setting Professional Modifier None Typical Low $1,584.89 Median $1,819.70 Typical High $2,089.30 | Professional | None | $1,584.89 | $1,819.70 | $2,089.30 |
Medica Setting Facility Modifier None Typical Low $457.09 Median $2,137.96 Typical High $5,888.44 | Facility | None | $457.09 | $2,137.96 | $5,888.44 |
Medica Setting Professional Modifier None Typical Low $1,348.96 Median $1,819.70 Typical High $12,589.25 | Professional | None | $1,348.96 | $1,819.70 | $12,589.25 |
United Setting Facility Modifier None Typical Low $426.58 Median $1,995.26 Typical High $6,025.60 | Facility | None | $426.58 | $1,995.26 | $6,025.60 |
United Setting Professional Modifier None Typical Low $1,258.93 Median $1,584.89 Typical High $2,344.23 | Professional | None | $1,258.93 | $1,584.89 | $2,344.23 |
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 $1,023.29 Median $1,148.15 Typical High $1,148.15 | Professional | 78 · Unplanned return to OR | $1,023.29 | $1,148.15 | $1,148.15 |
Where Oklahoma 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.