How much rates vary
Facilitymedian $1,479 · 10th to 90th $537 to $251,189Professionalmedian $2,291 · 10th to 90th $490 to $2,818
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 $1,000.00 Median $1,778.28 Typical High $7,762.47 | Facility | None | $1,000.00 | $1,778.28 | $7,762.47 |
Aetna Setting Professional Modifier None Typical Low $1,584.89 Median $2,511.89 Typical High $2,511.89 | Professional | None | $1,584.89 | $2,511.89 | $2,511.89 |
Cigna Setting Facility Modifier None Typical Low $537.03 Median $602.56 Typical High $707.95 | Facility | None | $537.03 | $602.56 | $707.95 |
Cigna Setting Professional Modifier None Typical Low $1,659.59 Median $2,041.74 Typical High $2,754.23 | Professional | None | $1,659.59 | $2,041.74 | $2,754.23 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $489.78 Typical High $2,454.71 | Professional | None | $33.11 | $489.78 | $2,454.71 |
Providence Setting Facility Modifier None Typical Low $602.56 Median $125,892.54 Typical High $251,188.64 | Facility | None | $602.56 | $125,892.54 | $251,188.64 |
Providence Setting Professional Modifier None Typical Low $1,819.70 Median $2,089.30 Typical High $2,884.03 | Professional | None | $1,819.70 | $2,089.30 | $2,884.03 |
United Setting Facility Modifier None Typical Low $407.38 Median $1,412.54 Typical High $10,471.29 | Facility | None | $407.38 | $1,412.54 | $10,471.29 |
United Setting Professional Modifier None Typical Low $1,659.59 Median $2,398.83 Typical High $3,235.94 | Professional | None | $1,659.59 | $2,398.83 | $3,235.94 |
2 more rates 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 54 · Surgery only Typical Low $1,202.26 Median $1,862.09 Typical High $1,862.09 | Professional | 54 · Surgery only | $1,202.26 | $1,862.09 | $1,862.09 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,122.02 Median $1,737.80 Typical High $1,737.80 | Professional | 78 · Unplanned return to OR | $1,122.02 | $1,737.80 | $1,737.80 |
Where New Mexico sits
The same service costs 8.0 times more in Maine 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.
Physician feeFacility fee
ME $18,037TX $2,258
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.