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 $3,467.37 Median $4,265.80 Typical High $7,244.36 | Facility | None | $3,467.37 | $4,265.80 | $7,244.36 |
Aetna Setting Professional Modifier None Typical Low $1,995.26 Median $3,630.78 Typical High $3,630.78 | Professional | None | $1,995.26 | $3,630.78 | $3,630.78 |
Cigna Setting Professional Modifier None Typical Low $2,344.23 Median $5,011.87 Typical High $6,025.60 | Professional | None | $2,344.23 | $5,011.87 | $6,025.60 |
Hally Health Setting Professional Modifier None Typical Low $2,041.74 Median $3,235.94 Typical High $8,912.51 | Professional | None | $2,041.74 | $3,235.94 | $8,912.51 |
Medica Setting Facility Modifier None Typical Low $588.84 Median $3,467.37 Typical High $5,888.44 | Facility | None | $588.84 | $3,467.37 | $5,888.44 |
Medica Setting Professional Modifier None Typical Low $2,511.89 Median $4,897.79 Typical High $17,378.01 | Professional | None | $2,511.89 | $4,897.79 | $17,378.01 |
Midlands Setting Professional Modifier None Typical Low $4,897.79 Median $5,011.87 Typical High $6,025.60 | Professional | None | $4,897.79 | $5,011.87 | $6,025.60 |
Midlands Setting Professional Modifier None Typical Low $3,890.45 Median $5,370.32 Typical High $6,918.31 | Professional | None | $3,890.45 | $5,370.32 | $6,918.31 |
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 $2,290.87 Median $3,162.28 Typical High $5,888.44 | Professional | None | $2,290.87 | $3,162.28 | $5,888.44 |
Wellmark Setting Professional Modifier None Typical Low $4,570.88 Median $4,570.88 Typical High $5,128.61 | Professional | None | $4,570.88 | $4,570.88 | $5,128.61 |
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 $1,380.38 Median $2,511.89 Typical High $2,511.89 | Professional | 78 · Unplanned return to OR | $1,380.38 | $2,511.89 | $2,511.89 |
Where Iowa sits
The same service costs 21.9 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.
Iowa· 4th of 51
$4,786
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.