How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $371.54 Median $812.83 Typical High $7,244.36 | Facility | None | $371.54 | $812.83 | $7,244.36 |
Aetna Setting Professional Modifier None Typical Low $371.54 Median $389.05 Typical High $501.19 | Professional | None | $371.54 | $389.05 | $501.19 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $288.40 Median $288.40 Typical High $331.13 | Professional | 54 · Surgery only | $288.40 | $288.40 | $331.13 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $269.15 Median $269.15 Typical High $309.03 | Professional | 78 · Unplanned return to OR | $269.15 | $269.15 | $309.03 |
Cigna Setting Facility Modifier None Typical Low $645.65 Median $645.65 Typical High $645.65 | Facility | None | $645.65 | $645.65 | $645.65 |
Cigna Setting Professional Modifier None Typical Low $354.81 Median $371.54 Typical High $512.86 | Professional | None | $354.81 | $371.54 | $512.86 |
Highmark BCBS Setting Facility Modifier None Typical Low $2,511.89 Median $8,709.64 Typical High $15,135.61 | Facility | None | $2,511.89 | $8,709.64 | $15,135.61 |
United Setting Facility Modifier None Typical Low $1,995.26 Median $1,995.26 Typical High $1,995.26 | Facility | None | $1,995.26 | $1,995.26 | $1,995.26 |
United Setting Professional Modifier None Typical Low $302.00 Median $363.08 Typical High $501.19 | Professional | None | $302.00 | $363.08 | $501.19 |
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 |
|---|---|---|---|---|---|
Highmark BCBS Setting Professional Modifier GC · Resident with teaching physician Typical Low $645.65 Median $645.65 Typical High $645.65 | Professional | GC · Resident with teaching physician | $645.65 | $645.65 | $645.65 |
Where Delaware sits
The same service costs 4.2 times more in Wyoming than in Utah. 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.
Delaware· 47th of 51
$372
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.