How much rates vary
Facilitymedian $4,677 · 10th to 90th $1,288 to $7,586Professionalmedian $891 · 10th to 90th $708 to $1,660
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 $707.95 Median $707.95 Typical High $870.96 | Facility | None | $707.95 | $707.95 | $870.96 |
Aetna Setting Professional Modifier None Typical Low $691.83 Median $707.95 Typical High $1,445.44 | Professional | None | $691.83 | $707.95 | $1,445.44 |
CareFirst Setting Professional Modifier None Typical Low $812.83 Median $891.25 Typical High $1,047.13 | Professional | None | $812.83 | $891.25 | $1,047.13 |
Cigna Setting Facility Modifier None Typical Low $645.65 Median $5,248.07 Typical High $8,317.64 | Facility | None | $645.65 | $5,248.07 | $8,317.64 |
Cigna Setting Professional Modifier None Typical Low $758.58 Median $977.24 Typical High $2,137.96 | Professional | None | $758.58 | $977.24 | $2,137.96 |
Kaiser Permanente Setting Professional Modifier None Typical Low $776.25 Median $891.25 Typical High $1,445.44 | Professional | None | $776.25 | $891.25 | $1,445.44 |
United Setting Facility Modifier None Typical Low $1,621.81 Median $3,801.89 Typical High $7,079.46 | Facility | None | $1,621.81 | $3,801.89 | $7,079.46 |
United Setting Professional Modifier None Typical Low $741.31 Median $1,148.15 Typical High $2,041.74 | Professional | None | $741.31 | $1,148.15 | $2,041.74 |
Wellpoint Setting Professional Modifier None Typical Low $776.25 Median $776.25 Typical High $1,174.90 | Professional | None | $776.25 | $776.25 | $1,174.90 |
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 $524.81 Median $524.81 Typical High $602.56 | Professional | 54 · Surgery only | $524.81 | $524.81 | $602.56 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $489.78 Median $489.78 Typical High $562.34 | Professional | 78 · Unplanned return to OR | $489.78 | $489.78 | $562.34 |
Where Maryland sits
The same service costs 6.1 times more in Colorado 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
CO $15,685MT $2,577
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.