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 $977.24 Median $6,309.57 Typical High $14,125.38 | Facility | None | $977.24 | $6,309.57 | $14,125.38 |
Aetna Setting Professional Modifier None Typical Low $1,479.11 Median $1,819.70 Typical High $2,570.40 | Professional | None | $1,479.11 | $1,819.70 | $2,570.40 |
AvMed Setting Facility Modifier None Typical Low $1,479.11 Median $4,365.16 Typical High $14,791.08 | Facility | None | $1,479.11 | $4,365.16 | $14,791.08 |
AvMed Setting Professional Modifier None Typical Low $1,949.84 Median $2,398.83 Typical High $2,951.21 | Professional | None | $1,949.84 | $2,398.83 | $2,951.21 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $10,964.78 Typical High $20,892.96 | Facility | None | $501.19 | $10,964.78 | $20,892.96 |
Cigna Setting Professional Modifier None Typical Low $1,778.28 Median $1,905.46 Typical High $3,548.13 | Professional | None | $1,778.28 | $1,905.46 | $3,548.13 |
Florida Blue Setting Facility Modifier None Typical Low $2,884.03 Median $5,888.44 Typical High $16,982.44 | Facility | None | $2,884.03 | $5,888.44 | $16,982.44 |
Florida Blue Setting Professional Modifier None Typical Low $741.31 Median $1,819.70 Typical High $2,630.27 | Professional | None | $741.31 | $1,819.70 | $2,630.27 |
Molina Setting Professional Modifier None Typical Low $204.17 Median $1,548.82 Typical High $2,818.38 | Professional | None | $204.17 | $1,548.82 | $2,818.38 |
United Setting Facility Modifier None Typical Low $2,511.89 Median $10,232.93 Typical High $19,498.45 | Facility | None | $2,511.89 | $10,232.93 | $19,498.45 |
United Setting Professional Modifier None Typical Low $1,659.59 Median $2,041.74 Typical High $3,981.07 | Professional | None | $1,659.59 | $2,041.74 | $3,981.07 |
Wellpoint Setting Professional Modifier None Typical Low $2,238.72 Median $2,238.72 Typical High $2,454.71 | Professional | None | $2,238.72 | $2,238.72 | $2,454.71 |
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 $1,122.02 Median $1,380.38 Typical High $1,905.46 | Professional | 54 · Surgery only | $1,122.02 | $1,380.38 | $1,905.46 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,047.13 Median $1,288.25 Typical High $1,778.28 | Professional | 78 · Unplanned return to OR | $1,047.13 | $1,288.25 | $1,778.28 |
Where Florida sits
The same service costs 8.1 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· 47th of 51
$1,995
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.