How much rates vary
Facilitymedian $3,467 · 10th to 90th $661 to $16,218Professionalmedian $724 · 10th to 90th $550 to $1,148
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 $691.83 Median $3,311.31 Typical High $12,022.64 | Facility | None | $691.83 | $3,311.31 | $12,022.64 |
Aetna Setting Professional Modifier None Typical Low $707.95 Median $794.33 Typical High $891.25 | Professional | None | $707.95 | $794.33 | $891.25 |
AvMed Setting Facility Modifier None Typical Low $616.60 Median $2,137.96 Typical High $13,182.57 | Facility | None | $616.60 | $2,137.96 | $13,182.57 |
AvMed Setting Professional Modifier None Typical Low $588.84 Median $831.76 Typical High $1,047.13 | Professional | None | $588.84 | $831.76 | $1,047.13 |
Cigna Setting Facility Modifier None Typical Low $457.09 Median $2,691.53 Typical High $16,595.87 | Facility | None | $457.09 | $2,691.53 | $16,595.87 |
Cigna Setting Professional Modifier None Typical Low $575.44 Median $616.60 Typical High $1,318.26 | Professional | None | $575.44 | $616.60 | $1,318.26 |
Florida Blue Setting Professional Modifier None Typical Low $407.38 Median $707.95 Typical High $1,000.00 | Professional | None | $407.38 | $707.95 | $1,000.00 |
Molina Setting Professional Modifier None Typical Low $562.34 Median $676.08 Typical High $1,174.90 | Professional | None | $562.34 | $676.08 | $1,174.90 |
United Setting Facility Modifier None Typical Low $1,584.89 Median $4,466.84 Typical High $19,498.45 | Facility | None | $1,584.89 | $4,466.84 | $19,498.45 |
United Setting Professional Modifier None Typical Low $562.34 Median $741.31 Typical High $1,412.54 | Professional | None | $562.34 | $741.31 | $1,412.54 |
Wellpoint Setting Professional Modifier None Typical Low $549.54 Median $549.54 Typical High $724.44 | Professional | None | $549.54 | $549.54 | $724.44 |
5 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 52 · Reduced service Typical Low $363.08 Median $389.05 Typical High $446.68 | Professional | 52 · Reduced service | $363.08 | $389.05 | $446.68 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $144.54 Median $158.49 Typical High $177.83 | Professional | 53 · Discontinued | $144.54 | $158.49 | $177.83 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $537.03 Median $588.84 Typical High $676.08 | Professional | 54 · Surgery only | $537.03 | $588.84 | $676.08 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $107.15 Median $117.49 Typical High $134.90 | Professional | 55 · Aftercare only | $107.15 | $117.49 | $134.90 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $72.44 Median $79.43 Typical High $89.13 | Professional | 56 · Pre-op care only | $72.44 | $79.43 | $89.13 |
Where Florida sits
The same service costs 4.6 times more in Alaska 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
AK $9,843KY $2,122
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.