How much rates vary
Facilitymedian $3,548 · 10th to 90th $1,230 to $10,233Professionalmedian $1,000 · 10th to 90th $776 to $1,445
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 $2,398.83 Median $3,235.94 Typical High $3,981.07 | Facility | None | $2,398.83 | $3,235.94 | $3,981.07 |
Aetna Setting Professional Modifier None Typical Low $851.14 Median $1,000.00 Typical High $1,000.00 | Professional | None | $851.14 | $1,000.00 | $1,000.00 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $758.58 Median $758.58 Typical High $758.58 | Professional | 54 · Surgery only | $758.58 | $758.58 | $758.58 |
BCBS Setting Professional Modifier None Typical Low $724.44 Median $977.24 Typical High $1,584.89 | Professional | None | $724.44 | $977.24 | $1,584.89 |
BCBS Setting Professional Modifier 54 · Surgery only Typical Low $467.74 Median $660.69 Typical High $1,071.52 | Professional | 54 · Surgery only | $467.74 | $660.69 | $1,071.52 |
BCBS Setting Professional Modifier 55 · Aftercare only Typical Low $57.54 Median $83.18 Typical High $131.83 | Professional | 55 · Aftercare only | $57.54 | $83.18 | $131.83 |
BCBS Setting Professional Modifier 56 · Pre-op care only Typical Low $57.54 Median $83.18 Typical High $131.83 | Professional | 56 · Pre-op care only | $57.54 | $83.18 | $131.83 |
Cigna Setting Facility Modifier None Typical Low $1,778.28 Median $3,548.13 Typical High $5,128.61 | Facility | None | $1,778.28 | $3,548.13 | $5,128.61 |
Cigna Setting Professional Modifier None Typical Low $1,023.29 Median $1,445.44 Typical High $1,621.81 | Professional | None | $1,023.29 | $1,445.44 | $1,621.81 |
United Setting Facility Modifier None Typical Low $933.25 Median $3,548.13 Typical High $11,748.98 | Facility | None | $933.25 | $3,548.13 | $11,748.98 |
United Setting Professional Modifier None Typical Low $707.95 Median $933.25 Typical High $1,380.38 | Professional | None | $707.95 | $933.25 | $1,380.38 |
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 $707.95 Median $707.95 Typical High $707.95 | Professional | 78 · Unplanned return to OR | $707.95 | $707.95 | $707.95 |
Where Rhode Island sits
The same service costs 5.1 times more in Oklahoma than in Montana. 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
OK $11,988MT $2,350
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.