How much rates vary
Facilitymedian $3,548 · 10th to 90th $1,175 to $19,953Professionalmedian $891 · 10th to 90th $155 to $1,445
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 $4,786.30 Typical High $11,748.98 | Facility | None | $776.25 | $4,786.30 | $11,748.98 |
Aetna Setting Professional Modifier None Typical Low $812.83 Median $1,071.52 Typical High $1,380.38 | Professional | None | $812.83 | $1,071.52 | $1,380.38 |
Ambetter Setting Professional Modifier None Typical Low $3,630.78 Median $3,630.78 Typical High $3,630.78 | Professional | None | $3,630.78 | $3,630.78 | $3,630.78 |
AvMed Setting Facility Modifier None Typical Low $870.96 Median $4,265.80 Typical High $16,982.44 | Facility | None | $870.96 | $4,265.80 | $16,982.44 |
AvMed Setting Professional Modifier None Typical Low $870.96 Median $1,122.02 Typical High $1,318.26 | Professional | None | $870.96 | $1,122.02 | $1,318.26 |
Cigna Setting Facility Modifier None Typical Low $1,000.00 Median $16,982.44 Typical High $31,622.78 | Facility | None | $1,000.00 | $16,982.44 | $31,622.78 |
Cigna Setting Professional Modifier None Typical Low $851.14 Median $891.25 Typical High $1,778.28 | Professional | None | $851.14 | $891.25 | $1,778.28 |
Florida Blue Setting Facility Modifier None Typical Low $1,318.26 Median $3,090.30 Typical High $19,952.62 | Facility | None | $1,318.26 | $3,090.30 | $19,952.62 |
Florida Blue Setting Professional Modifier None Typical Low $407.38 Median $912.01 Typical High $1,174.90 | Professional | None | $407.38 | $912.01 | $1,174.90 |
Molina Setting Professional Modifier None Typical Low $91.20 Median $691.83 Typical High $1,258.93 | Professional | None | $91.20 | $691.83 | $1,258.93 |
United Setting Facility Modifier None Typical Low $954.99 Median $2,344.23 Typical High $10,715.19 | Facility | None | $954.99 | $2,344.23 | $10,715.19 |
United Setting Professional Modifier None Typical Low $794.33 Median $1,047.13 Typical High $2,041.74 | Professional | None | $794.33 | $1,047.13 | $2,041.74 |
Wellpoint Setting Professional Modifier None Typical Low $1,071.52 Median $1,071.52 Typical High $1,096.48 | Professional | None | $1,071.52 | $1,071.52 | $1,096.48 |
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 $616.60 Median $812.83 Typical High $954.99 | Professional | 54 · Surgery only | $616.60 | $812.83 | $954.99 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $575.44 Median $758.58 Typical High $891.25 | Professional | 78 · Unplanned return to OR | $575.44 | $758.58 | $891.25 |
Where Florida sits
The same service costs 8.5 times more in Wyoming than in Kentucky. 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
WY $22,644KY $2,656
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.