How much rates vary
Facilitymedian $7,413 · 10th to 90th $1,122 to $54,954Professionalmedian $2,042 · 10th to 90th $1,230 to $3,236
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 Professional Modifier None Typical Low $1,230.27 Median $2,344.23 Typical High $2,344.23 | Professional | None | $1,230.27 | $2,344.23 | $2,344.23 |
Anthem BCBS Setting Facility Modifier None Typical Low $3,548.13 Median $8,128.31 Typical High $63,095.73 | Facility | None | $3,548.13 | $8,128.31 | $63,095.73 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,445.44 Median $1,995.26 Typical High $3,019.95 | Professional | None | $1,445.44 | $1,995.26 | $3,019.95 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $1,380.38 Typical High $57,543.99 | Facility | None | $512.86 | $1,380.38 | $57,543.99 |
Cigna Setting Professional Modifier None Typical Low $1,174.90 Median $1,905.46 Typical High $3,467.37 | Professional | None | $1,174.90 | $1,905.46 | $3,467.37 |
ConnectiCare Setting Professional Modifier None Typical Low $2,238.72 Median $2,238.72 Typical High $2,691.53 | Professional | None | $2,238.72 | $2,238.72 | $2,691.53 |
United Setting Facility Modifier None Typical Low $1,122.02 Median $7,943.28 Typical High $15,488.17 | Facility | None | $1,122.02 | $7,943.28 | $15,488.17 |
United Setting Professional Modifier None Typical Low $1,071.52 Median $1,905.46 Typical High $4,570.88 | Professional | None | $1,071.52 | $1,905.46 | $4,570.88 |
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 $1,096.48 Median $1,659.59 Typical High $1,659.59 | Professional | 78 · Unplanned return to OR | $1,096.48 | $1,659.59 | $1,659.59 |
Where Connecticut sits
The same service costs 5.7 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 $13,752KY $2,420
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.