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 $501.19 Median $3,090.30 Typical High $10,964.78 | Facility | None | $501.19 | $3,090.30 | $10,964.78 |
Aetna Setting Professional Modifier None Typical Low $281.84 Median $478.63 Typical High $707.95 | Professional | None | $281.84 | $478.63 | $707.95 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $213.80 Median $354.81 Typical High $398.11 | Professional | 54 · Surgery only | $213.80 | $354.81 | $398.11 |
Ambetter Setting Professional Modifier None Typical Low $302.00 Median $588.84 Typical High $616.60 | Professional | None | $302.00 | $588.84 | $616.60 |
AvMed Setting Facility Modifier None Typical Low $398.11 Median $2,137.96 Typical High $11,748.98 | Facility | None | $398.11 | $2,137.96 | $11,748.98 |
AvMed Setting Professional Modifier None Typical Low $275.42 Median $512.86 Typical High $676.08 | Professional | None | $275.42 | $512.86 | $676.08 |
Cigna Setting Facility Modifier None Typical Low $331.13 Median $478.63 Typical High $1,659.59 | Facility | None | $331.13 | $478.63 | $1,659.59 |
Cigna Setting Professional Modifier None Typical Low $234.42 Median $436.52 Typical High $691.83 | Professional | None | $234.42 | $436.52 | $691.83 |
Florida Blue Setting Facility Modifier None Typical Low $213.80 Median $436.52 Typical High $4,570.88 | Facility | None | $213.80 | $436.52 | $4,570.88 |
Florida Blue Setting Professional Modifier None Typical Low $426.58 Median $489.78 Typical High $691.83 | Professional | None | $426.58 | $489.78 | $691.83 |
Molina Setting Professional Modifier None Typical Low $239.88 Median $562.34 Typical High $851.14 | Professional | None | $239.88 | $562.34 | $851.14 |
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 $234.42 Median $426.58 Typical High $776.25 | Professional | None | $234.42 | $426.58 | $776.25 |
Wellpoint Setting Professional Modifier None Typical Low $218.78 Median $489.78 Typical High $489.78 | Professional | None | $218.78 | $489.78 | $489.78 |
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 $562.34 Median $562.34 Typical High $562.34 | Professional | 79 · Unrelated procedure after surgery | $562.34 | $562.34 | $562.34 |
Where Florida sits
The same service costs 3.1 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· 49th of 51
$468
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.