How much rates vary
Facilitymedian $2,089 · 10th to 90th $692 to $6,310Professionalmedian $1,000 · 10th to 90th $263 to $2,344
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 $602.56 Median $3,388.44 Typical High $6,760.83 | Facility | None | $602.56 | $3,388.44 | $6,760.83 |
Aetna Setting Professional Modifier None Typical Low $218.78 Median $741.31 Typical High $1,412.54 | Professional | None | $218.78 | $741.31 | $1,412.54 |
Cigna Setting Facility Modifier None Typical Low $1,380.38 Median $1,737.80 Typical High $2,290.87 | Facility | None | $1,380.38 | $1,737.80 | $2,290.87 |
Cigna Setting Professional Modifier None Typical Low $346.74 Median $616.60 Typical High $2,137.96 | Professional | None | $346.74 | $616.60 | $2,137.96 |
Hally Health Setting Professional Modifier None Typical Low $141.25 Median $575.44 Typical High $1,380.38 | Professional | None | $141.25 | $575.44 | $1,380.38 |
Medica Setting Facility Modifier None Typical Low $416.87 Median $1,778.28 Typical High $5,754.40 | Facility | None | $416.87 | $1,778.28 | $5,754.40 |
Medica Setting Professional Modifier None Typical Low $407.38 Median $1,737.80 Typical High $6,165.95 | Professional | None | $407.38 | $1,737.80 | $6,165.95 |
Midlands Setting Professional Modifier None Typical Low $346.74 Median $1,096.48 Typical High $2,137.96 | Professional | None | $346.74 | $1,096.48 | $2,137.96 |
Midlands Setting Facility Modifier None Typical Low $1,202.26 Median $1,737.80 Typical High $2,290.87 | Facility | None | $1,202.26 | $1,737.80 | $2,290.87 |
Midlands Setting Professional Modifier None Typical Low $1,258.93 Median $1,258.93 Typical High $1,258.93 | Professional | None | $1,258.93 | $1,258.93 | $1,258.93 |
Oscar Health Setting Professional Modifier None Typical Low $141.25 Median $316.23 Typical High $1,698.24 | Professional | None | $141.25 | $316.23 | $1,698.24 |
United Setting Facility Modifier None Typical Low $1,258.93 Median $3,548.13 Typical High $7,413.10 | Facility | None | $1,258.93 | $3,548.13 | $7,413.10 |
United Setting Professional Modifier None Typical Low $199.53 Median $630.96 Typical High $1,905.46 | Professional | None | $199.53 | $630.96 | $1,905.46 |
Wellmark Setting Professional Modifier None Typical Low $281.84 Median $331.13 Typical High $2,041.74 | Professional | None | $281.84 | $331.13 | $2,041.74 |
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 54 · Surgery only Typical Low $208.93 Median $208.93 Typical High $1,047.13 | Professional | 54 · Surgery only | $208.93 | $208.93 | $1,047.13 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $151.36 Median $194.98 Typical High $977.24 | Professional | 78 · Unplanned return to OR | $151.36 | $194.98 | $977.24 |
Where Iowa sits
The same service costs 3.5 times more in Colorado than in Montana. 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
CO $4,667MT $1,347
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.