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 $549.54 Median $3,715.35 Typical High $11,481.54 | Facility | None | $549.54 | $3,715.35 | $11,481.54 |
Aetna Setting Professional Modifier None Typical Low $398.11 Median $446.68 Typical High $562.34 | Professional | None | $398.11 | $446.68 | $562.34 |
Ambetter Setting Professional Modifier None Typical Low $912.01 Median $912.01 Typical High $912.01 | Professional | None | $912.01 | $912.01 | $912.01 |
AvMed Setting Facility Modifier None Typical Low $446.68 Median $1,584.89 Typical High $9,549.93 | Facility | None | $446.68 | $1,584.89 | $9,549.93 |
AvMed Setting Professional Modifier None Typical Low $416.87 Median $512.86 Typical High $588.84 | Professional | None | $416.87 | $512.86 | $588.84 |
Cigna Setting Facility Modifier None Typical Low $436.52 Median $1,122.02 Typical High $2,187.76 | Facility | None | $436.52 | $1,122.02 | $2,187.76 |
Cigna Setting Professional Modifier None Typical Low $380.19 Median $398.11 Typical High $794.33 | Professional | None | $380.19 | $398.11 | $794.33 |
Florida Blue Setting Facility Modifier None Typical Low $741.31 Median $1,621.81 Typical High $7,413.10 | Facility | None | $741.31 | $1,621.81 | $7,413.10 |
Florida Blue Setting Professional Modifier None Typical Low $199.53 Median $446.68 Typical High $562.34 | Professional | None | $199.53 | $446.68 | $562.34 |
Molina Setting Professional Modifier None Typical Low $60.26 Median $323.59 Typical High $575.44 | Professional | None | $60.26 | $323.59 | $575.44 |
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 $346.74 Median $446.68 Typical High $870.96 | Professional | None | $346.74 | $446.68 | $870.96 |
Wellpoint Setting Professional Modifier None Typical Low $389.05 Median $389.05 Typical High $512.86 | Professional | None | $389.05 | $389.05 | $512.86 |
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 $295.12 Median $331.13 Typical High $416.87 | Professional | 54 · Surgery only | $295.12 | $331.13 | $416.87 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $275.42 Median $309.03 Typical High $389.05 | Professional | 78 · Unplanned return to OR | $275.42 | $309.03 | $389.05 |
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· 48th of 51
$427
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.