How much rates vary
Facilitymedian $3,981 · 10th to 90th $1,096 to $25,119Professionalmedian $240 · 10th to 90th $22 to $1,413
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 $933.25 Median $35,481.34 Typical High $53,703.18 | Facility | None | $933.25 | $35,481.34 | $53,703.18 |
Aetna Setting Professional Modifier None Typical Low $831.76 Median $933.25 Typical High $1,318.26 | Professional | None | $831.76 | $933.25 | $1,318.26 |
BCBS Setting Facility Modifier None Typical Low $1,096.48 Median $2,041.74 Typical High $26,302.68 | Facility | None | $1,096.48 | $2,041.74 | $26,302.68 |
BCBS Setting Professional Modifier None Typical Low $954.99 Median $1,202.26 Typical High $1,949.84 | Professional | None | $954.99 | $1,202.26 | $1,949.84 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $2,398.83 Typical High $48,977.88 | Facility | None | $588.84 | $2,398.83 | $48,977.88 |
Cigna Setting Professional Modifier None Typical Low $1,023.29 Median $1,202.26 Typical High $1,621.81 | Professional | None | $1,023.29 | $1,202.26 | $1,621.81 |
Lucent Health Setting Professional Modifier None Typical Low $7,079.46 Median $7,079.46 Typical High $9,120.11 | Professional | None | $7,079.46 | $7,079.46 | $9,120.11 |
Moda Health Setting Facility Modifier None Typical Low $954.99 Median $1,318.26 Typical High $57,543.99 | Facility | None | $954.99 | $1,318.26 | $57,543.99 |
Moda Health Setting Professional Modifier None Typical Low $831.76 Median $933.25 Typical High $1,548.82 | Professional | None | $831.76 | $933.25 | $1,548.82 |
Molina Setting Professional Modifier None Typical Low $19.95 Median $144.54 Typical High $954.99 | Professional | None | $19.95 | $144.54 | $954.99 |
Providence Setting Facility Modifier None Typical Low $630.96 Median $1,445.44 Typical High $50,118.72 | Facility | None | $630.96 | $1,445.44 | $50,118.72 |
Providence Setting Professional Modifier None Typical Low $1,023.29 Median $1,202.26 Typical High $1,659.59 | Professional | None | $1,023.29 | $1,202.26 | $1,659.59 |
United Setting Facility Modifier None Typical Low $2,630.27 Median $6,165.95 Typical High $15,135.61 | Facility | None | $2,630.27 | $6,165.95 | $15,135.61 |
United Setting Professional Modifier None Typical Low $794.33 Median $1,047.13 Typical High $1,584.89 | Professional | None | $794.33 | $1,047.13 | $1,584.89 |
Wellpoint Setting Professional Modifier None Typical Low $1,023.29 Median $1,023.29 Typical High $1,023.29 | Professional | None | $1,023.29 | $1,023.29 | $1,023.29 |
3 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 78 · Unplanned return to OR Typical Low $588.84 Median $645.65 Typical High $741.31 | Professional | 78 · Unplanned return to OR | $588.84 | $645.65 | $741.31 |
Ambetter Setting Professional Modifier 58 · Staged procedure Typical Low $1,258.93 Median $1,258.93 Typical High $1,258.93 | Professional | 58 · Staged procedure | $1,258.93 | $1,258.93 | $1,258.93 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $588.84 Median $645.65 Typical High $741.31 | Professional | 78 · Unplanned return to OR | $588.84 | $645.65 | $741.31 |
Where Texas sits
The same service costs 4.9 times more in Alaska than in Kentucky. 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
AK $10,776KY $2,181
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.