How much rates vary
Facilitymedian $1,288 · 10th to 90th $229 to $1,820Professionalmedian $759 · 10th to 90th $224 to $2,239
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 $158.49 Median $794.33 Typical High $4,365.16 | Facility | None | $158.49 | $794.33 | $4,365.16 |
Aetna Setting Professional Modifier None Typical Low $138.04 Median $275.42 Typical High $891.25 | Professional | None | $138.04 | $275.42 | $891.25 |
Cigna Setting Facility Modifier None Typical Low $1,230.27 Median $1,258.93 Typical High $1,548.82 | Facility | None | $1,230.27 | $1,258.93 | $1,548.82 |
Cigna Setting Professional Modifier None Typical Low $338.84 Median $457.09 Typical High $2,454.71 | Professional | None | $338.84 | $457.09 | $2,454.71 |
Medica Setting Facility Modifier None Typical Low $229.09 Median $1,288.25 Typical High $1,819.70 | Facility | None | $229.09 | $1,288.25 | $1,819.70 |
Medica Setting Professional Modifier None Typical Low $616.60 Median $1,348.96 Typical High $3,090.30 | Professional | None | $616.60 | $1,348.96 | $3,090.30 |
Midlands Setting Professional Modifier None Typical Low $363.08 Median $1,659.59 Typical High $1,659.59 | Professional | None | $363.08 | $1,659.59 | $1,659.59 |
Midlands Setting Facility Modifier None Typical Low $1,202.26 Median $1,288.25 Typical High $1,737.80 | Facility | None | $1,202.26 | $1,288.25 | $1,737.80 |
Sanford Health Plan Setting Professional Modifier None Typical Low $251.19 Median $1,047.13 Typical High $1,621.81 | Professional | None | $251.19 | $1,047.13 | $1,621.81 |
United Setting Facility Modifier None Typical Low $1,513.56 Median $1,513.56 Typical High $1,819.70 | Facility | None | $1,513.56 | $1,513.56 | $1,819.70 |
United Setting Professional Modifier None Typical Low $204.17 Median $616.60 Typical High $2,238.72 | Professional | None | $204.17 | $616.60 | $2,238.72 |
Wellmark Setting Professional Modifier None Typical Low $281.84 Median $338.84 Typical High $2,137.96 | Professional | None | $281.84 | $338.84 | $2,137.96 |
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 $102.33 Median $208.93 Typical High $660.69 | Professional | 54 · Surgery only | $102.33 | $208.93 | $660.69 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $95.50 Median $194.98 Typical High $616.60 | Professional | 78 · Unplanned return to OR | $95.50 | $194.98 | $616.60 |
Where South Dakota 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.