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 $776.25 Median $3,890.45 Typical High $12,022.64 | Facility | None | $776.25 | $3,890.45 | $12,022.64 |
Aetna Setting Professional Modifier None Typical Low $954.99 Median $1,047.13 Typical High $1,258.93 | Professional | None | $954.99 | $1,047.13 | $1,258.93 |
AvMed Setting Facility Modifier None Typical Low $1,000.00 Median $2,137.96 Typical High $13,182.57 | Facility | None | $1,000.00 | $2,137.96 | $13,182.57 |
AvMed Setting Professional Modifier None Typical Low $1,023.29 Median $1,230.27 Typical High $1,445.44 | Professional | None | $1,023.29 | $1,230.27 | $1,445.44 |
Cigna Setting Facility Modifier None Typical Low $398.11 Median $501.19 Typical High $2,691.53 | Facility | None | $398.11 | $501.19 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $891.25 Median $1,230.27 Typical High $2,344.23 | Professional | None | $891.25 | $1,230.27 | $2,344.23 |
Florida Blue Setting Facility Modifier None Typical Low $10,000.00 Median $21,877.62 Typical High $33,884.42 | Facility | None | $10,000.00 | $21,877.62 | $33,884.42 |
Florida Blue Setting Professional Modifier None Typical Low $851.14 Median $933.25 Typical High $1,202.26 | Professional | None | $851.14 | $933.25 | $1,202.26 |
Molina Setting Professional Modifier None Typical Low $109.65 Median $891.25 Typical High $1,819.70 | Professional | None | $109.65 | $891.25 | $1,819.70 |
United Setting Facility Modifier None Typical Low $371.54 Median $954.99 Typical High $7,585.78 | Facility | None | $371.54 | $954.99 | $7,585.78 |
United Setting Professional Modifier None Typical Low $933.25 Median $1,380.38 Typical High $2,630.27 | Professional | None | $933.25 | $1,380.38 | $2,630.27 |
Wellpoint Setting Professional Modifier None Typical Low $912.01 Median $912.01 Typical High $1,230.27 | Professional | None | $912.01 | $912.01 | $1,230.27 |
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 $724.44 Median $794.33 Typical High $933.25 | Professional | 54 · Surgery only | $724.44 | $794.33 | $933.25 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $676.08 Median $741.31 Typical High $870.96 | Professional | 78 · Unplanned return to OR | $676.08 | $741.31 | $870.96 |
Where Florida sits
The same service costs 6.8 times more in Alaska than in Texas. 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
$1,023
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.