How much rates vary
Facilitymedian $1,380 · 10th to 90th $575 to $9,772Professionalmedian $891 · 10th to 90th $81 to $1,778
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 $707.95 Median $3,715.35 Typical High $11,481.54 | Facility | None | $707.95 | $3,715.35 | $11,481.54 |
Aetna Setting Professional Modifier None Typical Low $891.25 Median $954.99 Typical High $1,288.25 | Professional | None | $891.25 | $954.99 | $1,288.25 |
AvMed Setting Facility Modifier None Typical Low $831.76 Median $2,137.96 Typical High $11,748.98 | Facility | None | $831.76 | $2,137.96 | $11,748.98 |
AvMed Setting Professional Modifier None Typical Low $870.96 Median $1,096.48 Typical High $1,258.93 | Professional | None | $870.96 | $1,096.48 | $1,258.93 |
Cigna Setting Facility Modifier None Typical Low $870.96 Median $1,479.11 Typical High $5,248.07 | Facility | None | $870.96 | $1,479.11 | $5,248.07 |
Cigna Setting Professional Modifier None Typical Low $776.25 Median $1,071.52 Typical High $2,089.30 | Professional | None | $776.25 | $1,071.52 | $2,089.30 |
Florida Blue Setting Facility Modifier None Typical Low $660.69 Median $1,348.96 Typical High $11,748.98 | Facility | None | $660.69 | $1,348.96 | $11,748.98 |
Florida Blue Setting Professional Modifier None Typical Low $724.44 Median $776.25 Typical High $1,148.15 | Professional | None | $724.44 | $776.25 | $1,148.15 |
Molina Setting Professional Modifier None Typical Low $72.44 Median $812.83 Typical High $1,698.24 | Professional | None | $72.44 | $812.83 | $1,698.24 |
United Setting Facility Modifier None Typical Low $398.11 Median $1,000.00 Typical High $5,623.41 | Facility | None | $398.11 | $1,000.00 | $5,623.41 |
United Setting Professional Modifier None Typical Low $870.96 Median $1,258.93 Typical High $2,344.23 | Professional | None | $870.96 | $1,258.93 | $2,344.23 |
Wellpoint Setting Professional Modifier None Typical Low $758.58 Median $758.58 Typical High $1,023.29 | Professional | None | $758.58 | $758.58 | $1,023.29 |
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 $660.69 Median $724.44 Typical High $851.14 | Professional | 54 · Surgery only | $660.69 | $724.44 | $851.14 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $616.60 Median $676.08 Typical High $794.33 | Professional | 78 · Unplanned return to OR | $616.60 | $676.08 | $794.33 |
Where Florida sits
The same service costs 3.4 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 $7,428KY $2,193
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.