How much rates vary
Facilitymedian $5,012 · 10th to 90th $1,122 to $22,909Professionalmedian $200 · 10th to 90th $29 to $1,288
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 $1,023.29 Median $35,481.34 Typical High $53,703.18 | Facility | None | $1,023.29 | $35,481.34 | $53,703.18 |
Aetna Setting Professional Modifier None Typical Low $933.25 Median $1,023.29 Typical High $1,174.90 | Professional | None | $933.25 | $1,023.29 | $1,174.90 |
Ambetter Setting Professional Modifier None Typical Low $1,380.38 Median $1,380.38 Typical High $1,548.82 | Professional | None | $1,380.38 | $1,380.38 | $1,548.82 |
BCBS Texas Setting Professional Modifier None Typical Low $1,047.13 Median $1,380.38 Typical High $2,398.83 | Professional | None | $1,047.13 | $1,380.38 | $2,398.83 |
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 $1,000.00 Median $1,288.25 Typical High $1,698.24 | Professional | None | $1,000.00 | $1,288.25 | $1,698.24 |
Lucent Health Setting Professional Modifier None Typical Low $7,762.47 Median $10,000.00 Typical High $10,000.00 | Professional | None | $7,762.47 | $10,000.00 | $10,000.00 |
Moda Health Setting Facility Modifier None Typical Low $1,000.00 Median $1,318.26 Typical High $51,286.14 | Facility | None | $1,000.00 | $1,318.26 | $51,286.14 |
Moda Health Setting Professional Modifier None Typical Low $933.25 Median $1,047.13 Typical High $1,412.54 | Professional | None | $933.25 | $1,047.13 | $1,412.54 |
Molina Setting Professional Modifier None Typical Low $27.54 Median $173.78 Typical High $1,047.13 | Professional | None | $27.54 | $173.78 | $1,047.13 |
Providence Setting Facility Modifier None Typical Low $630.96 Median $1,479.11 Typical High $50,118.72 | Facility | None | $630.96 | $1,479.11 | $50,118.72 |
Providence Setting Professional Modifier None Typical Low $1,000.00 Median $1,288.25 Typical High $1,698.24 | Professional | None | $1,000.00 | $1,288.25 | $1,698.24 |
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 $831.76 Median $1,096.48 Typical High $1,584.89 | Professional | None | $831.76 | $1,096.48 | $1,584.89 |
Wellpoint Setting Professional Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $1,122.02 | Professional | None | $1,122.02 | $1,122.02 | $1,122.02 |
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 78 · Unplanned return to OR Typical Low $645.65 Median $724.44 Typical High $812.83 | Professional | 78 · Unplanned return to OR | $645.65 | $724.44 | $812.83 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $645.65 Median $724.44 Typical High $812.83 | Professional | 78 · Unplanned return to OR | $645.65 | $724.44 | $812.83 |
Where Texas sits
The same service costs 5.3 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 $11,922KY $2,240
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.