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 $1,000.00 Median $3,090.30 Typical High $8,317.64 | Facility | None | $1,000.00 | $3,090.30 | $8,317.64 |
Aetna Setting Professional Modifier None Typical Low $245.47 Median $2,691.53 Typical High $3,162.28 | Professional | None | $245.47 | $2,691.53 | $3,162.28 |
Cigna Setting Facility Modifier None Typical Low $1,023.29 Median $1,148.15 Typical High $1,584.89 | Facility | None | $1,023.29 | $1,148.15 | $1,584.89 |
Cigna Setting Professional Modifier None Typical Low $275.42 Median $1,380.38 Typical High $2,884.03 | Professional | None | $275.42 | $1,380.38 | $2,884.03 |
Medica Setting Facility Modifier None Typical Low $323.59 Median $1,949.84 Typical High $4,073.80 | Facility | None | $323.59 | $1,949.84 | $4,073.80 |
Medica Setting Professional Modifier None Typical Low $1,698.24 Median $8,709.64 Typical High $17,378.01 | Professional | None | $1,698.24 | $8,709.64 | $17,378.01 |
United Setting Facility Modifier None Typical Low $467.74 Median $2,041.74 Typical High $4,265.80 | Facility | None | $467.74 | $2,041.74 | $4,265.80 |
United Setting Professional Modifier None Typical Low $218.78 Median $933.25 Typical High $3,019.95 | Professional | None | $218.78 | $933.25 | $3,019.95 |
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 $186.21 Median $190.55 Typical High $2,041.74 | Professional | 54 · Surgery only | $186.21 | $190.55 | $2,041.74 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $173.78 Median $177.83 Typical High $1,905.46 | Professional | 78 · Unplanned return to OR | $173.78 | $177.83 | $1,905.46 |
Where Oklahoma sits
The same service costs 7.1 times more in Oregon 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.
Oklahoma· 8th of 51
$2,089
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.