How much rates vary
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 $1,819.70 Median $4,265.80 Typical High $7,244.36 | Facility | None | $1,819.70 | $4,265.80 | $7,244.36 |
Aetna Setting Professional Modifier None Typical Low $977.24 Median $1,819.70 Typical High $1,819.70 | Professional | None | $977.24 | $1,819.70 | $1,819.70 |
Cigna Setting Professional Modifier None Typical Low $1,148.15 Median $2,511.89 Typical High $3,090.30 | Professional | None | $1,148.15 | $2,511.89 | $3,090.30 |
Hally Health Setting Professional Modifier None Typical Low $1,023.29 Median $1,548.82 Typical High $3,467.37 | Professional | None | $1,023.29 | $1,548.82 | $3,467.37 |
Medica Setting Facility Modifier None Typical Low $588.84 Median $1,995.26 Typical High $4,897.79 | Facility | None | $588.84 | $1,995.26 | $4,897.79 |
Medica Setting Professional Modifier None Typical Low $1,258.93 Median $2,454.71 Typical High $8,128.31 | Professional | None | $1,258.93 | $2,454.71 | $8,128.31 |
Midlands Setting Professional Modifier None Typical Low $2,454.71 Median $2,511.89 Typical High $3,090.30 | Professional | None | $2,454.71 | $2,511.89 | $3,090.30 |
Midlands Setting Professional Modifier None Typical Low $2,041.74 Median $2,754.23 Typical High $3,311.31 | Professional | None | $2,041.74 | $2,754.23 | $3,311.31 |
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 $1,148.15 Median $1,548.82 Typical High $2,951.21 | Professional | None | $1,148.15 | $1,548.82 | $2,951.21 |
Wellmark Setting Professional Modifier None Typical Low $2,344.23 Median $2,344.23 Typical High $2,630.27 | Professional | None | $2,344.23 | $2,344.23 | $2,630.27 |
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 $691.83 Median $1,258.93 Typical High $1,258.93 | Professional | 78 · Unplanned return to OR | $691.83 | $1,258.93 | $1,258.93 |
Where Iowa sits
The same service costs 5.8 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.
Iowa· 4th of 51
$2,455
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.