How much rates vary
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 $354.81 Median $3,019.95 Typical High $10,964.78 | Facility | None | $354.81 | $3,019.95 | $10,964.78 |
Aetna Setting Professional Modifier None Typical Low $169.82 Median $309.03 Typical High $457.09 | Professional | None | $169.82 | $309.03 | $457.09 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $125.89 Median $223.87 Typical High $251.19 | Professional | 54 · Surgery only | $125.89 | $223.87 | $251.19 |
Ambetter Setting Professional Modifier None Typical Low $363.08 Median $389.05 Typical High $416.87 | Professional | None | $363.08 | $389.05 | $416.87 |
AvMed Setting Facility Modifier None Typical Low $331.13 Median $2,137.96 Typical High $11,748.98 | Facility | None | $331.13 | $2,137.96 | $11,748.98 |
AvMed Setting Professional Modifier None Typical Low $162.18 Median $331.13 Typical High $426.58 | Professional | None | $162.18 | $331.13 | $426.58 |
Cigna Setting Facility Modifier None Typical Low $302.00 Median $812.83 Typical High $2,691.53 | Facility | None | $302.00 | $812.83 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $138.04 Median $281.84 Typical High $436.52 | Professional | None | $138.04 | $281.84 | $436.52 |
Florida Blue Setting Facility Modifier None Typical Low $208.93 Median $380.19 Typical High $2,089.30 | Facility | None | $208.93 | $380.19 | $2,089.30 |
Florida Blue Setting Professional Modifier None Typical Low $275.42 Median $309.03 Typical High $446.68 | Professional | None | $275.42 | $309.03 | $446.68 |
Molina Setting Professional Modifier None Typical Low $141.25 Median $346.74 Typical High $537.03 | Professional | None | $141.25 | $346.74 | $537.03 |
United Setting Facility Modifier None Typical Low $81.28 Median $302.00 Typical High $2,818.38 | Facility | None | $81.28 | $302.00 | $2,818.38 |
United Setting Professional Modifier None Typical Low $141.25 Median $269.15 Typical High $501.19 | Professional | None | $141.25 | $269.15 | $501.19 |
Wellpoint Setting Professional Modifier None Typical Low $128.82 Median $316.23 Typical High $316.23 | Professional | None | $128.82 | $316.23 | $316.23 |
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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier 79 · Unrelated procedure after surgery Typical Low $363.08 Median $363.08 Typical High $416.87 | Professional | 79 · Unrelated procedure after surgery | $363.08 | $363.08 | $416.87 |
Where Florida sits
The same service costs 3.8 times more in Alaska than in Maryland. 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.
Florida· 48th of 51
$309
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.