How much rates vary
Facilitymedian $3,388 · 10th to 90th $955 to $8,913Professionalmedian $1,585 · 10th to 90th $871 to $3,311
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 $1,148.15 Median $1,148.15 Typical High $1,659.59 | Facility | None | $1,148.15 | $1,148.15 | $1,659.59 |
Aetna Setting Professional Modifier None Typical Low $1,148.15 Median $1,380.38 Typical High $1,862.09 | Professional | None | $1,148.15 | $1,380.38 | $1,862.09 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,318.26 Median $3,467.37 Typical High $7,079.46 | Facility | None | $1,318.26 | $3,467.37 | $7,079.46 |
Anthem BCBS Setting Professional Modifier None Typical Low $870.96 Median $1,445.44 Typical High $2,454.71 | Professional | None | $870.96 | $1,445.44 | $2,454.71 |
BCBS Kansas City Setting Professional Modifier None Typical Low $1,318.26 Median $1,479.11 Typical High $2,089.30 | Professional | None | $1,318.26 | $1,479.11 | $2,089.30 |
Cigna Setting Facility Modifier None Typical Low $575.44 Median $2,137.96 Typical High $2,691.53 | Facility | None | $575.44 | $2,137.96 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $1,174.90 Median $1,548.82 Typical High $3,019.95 | Professional | None | $1,174.90 | $1,548.82 | $3,019.95 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $2,951.21 Typical High $10,471.29 | Facility | None | $54.95 | $2,951.21 | $10,471.29 |
Medica Setting Professional Modifier None Typical Low $1,445.44 Median $2,818.38 Typical High $9,772.37 | Professional | None | $1,445.44 | $2,818.38 | $9,772.37 |
United Setting Facility Modifier None Typical Low $977.24 Median $4,570.88 Typical High $12,302.69 | Facility | None | $977.24 | $4,570.88 | $12,302.69 |
United Setting Professional Modifier None Typical Low $1,230.27 Median $2,089.30 Typical High $3,715.35 | Professional | None | $1,230.27 | $2,089.30 | $3,715.35 |
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 $812.83 Median $977.24 Typical High $1,000.00 | Professional | 78 · Unplanned return to OR | $812.83 | $977.24 | $1,000.00 |
Where Missouri 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.