How much rates vary
Facilitymedian $1,380 · 10th to 90th $550 to $8,913Professionalmedian $1,230 · 10th to 90th $182 to $1,995
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 $1,258.93 Median $1,258.93 Typical High $10,964.78 | Facility | None | $1,258.93 | $1,258.93 | $10,964.78 |
Aetna Setting Professional Modifier None Typical Low $1,258.93 Median $1,258.93 Typical High $4,786.30 | Professional | None | $1,258.93 | $1,258.93 | $4,786.30 |
Anthem BCBS Setting Facility Modifier None Typical Low $524.81 Median $1,071.52 Typical High $4,570.88 | Facility | None | $524.81 | $1,071.52 | $4,570.88 |
Anthem BCBS Setting Professional Modifier None Typical Low $660.69 Median $851.14 Typical High $1,819.70 | Professional | None | $660.69 | $851.14 | $1,819.70 |
CareSource Setting Facility Modifier None Typical Low $1,737.80 Median $1,737.80 Typical High $1,737.80 | Facility | None | $1,737.80 | $1,737.80 | $1,737.80 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $630.96 Typical High $2,691.53 | Facility | None | $501.19 | $630.96 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $1,096.48 Median $1,778.28 Typical High $2,818.38 | Professional | None | $1,096.48 | $1,778.28 | $2,818.38 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $501.19 Median $691.83 Typical High $2,691.53 | Facility | None | $501.19 | $691.83 | $2,691.53 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $1,202.26 Median $1,778.28 Typical High $2,818.38 | Professional | None | $1,202.26 | $1,778.28 | $2,818.38 |
Molina Setting Professional Modifier None Typical Low $165.96 Median $1,174.90 Typical High $1,862.09 | Professional | None | $165.96 | $1,174.90 | $1,862.09 |
SummaCare Setting Professional Modifier None Typical Low $1,380.38 Median $1,380.38 Typical High $2,041.74 | Professional | None | $1,380.38 | $1,380.38 | $2,041.74 |
United Setting Facility Modifier None Typical Low $891.25 Median $3,162.28 Typical High $10,471.29 | Facility | None | $891.25 | $3,162.28 | $10,471.29 |
United Setting Professional Modifier None Typical Low $977.24 Median $1,479.11 Typical High $3,388.44 | Professional | None | $977.24 | $1,479.11 | $3,388.44 |
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 $891.25 Median $891.25 Typical High $6,606.93 | Professional | 78 · Unplanned return to OR | $891.25 | $891.25 | $6,606.93 |
Where Ohio 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.