How much rates vary
Facilitymedian $1,950 · 10th to 90th $871 to $10,000Professionalmedian $955 · 10th to 90th $148 to $1,585
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 $1,096.48 Median $1,148.15 Typical High $1,513.56 | Professional | None | $1,096.48 | $1,148.15 | $1,513.56 |
AvMed Setting Facility Modifier None Typical Low $977.24 Median $2,137.96 Typical High $11,748.98 | Facility | None | $977.24 | $2,137.96 | $11,748.98 |
AvMed Setting Professional Modifier None Typical Low $977.24 Median $1,288.25 Typical High $1,548.82 | Professional | None | $977.24 | $1,288.25 | $1,548.82 |
Cigna Setting Facility Modifier None Typical Low $758.58 Median $1,513.56 Typical High $6,760.83 | Facility | None | $758.58 | $1,513.56 | $6,760.83 |
Cigna Setting Professional Modifier None Typical Low $933.25 Median $977.24 Typical High $1,995.26 | Professional | None | $933.25 | $977.24 | $1,995.26 |
Florida Blue Setting Facility Modifier None Typical Low $912.01 Median $1,995.26 Typical High $11,748.98 | Facility | None | $912.01 | $1,995.26 | $11,748.98 |
Florida Blue Setting Professional Modifier None Typical Low $549.54 Median $1,148.15 Typical High $1,412.54 | Professional | None | $549.54 | $1,148.15 | $1,412.54 |
Molina Setting Professional Modifier None Typical Low $89.13 Median $758.58 Typical High $1,348.96 | Professional | None | $89.13 | $758.58 | $1,348.96 |
United Setting Facility Modifier None Typical Low $794.33 Median $1,778.28 Typical High $7,585.78 | Facility | None | $794.33 | $1,778.28 | $7,585.78 |
United Setting Professional Modifier None Typical Low $870.96 Median $1,148.15 Typical High $2,187.76 | Professional | None | $870.96 | $1,148.15 | $2,187.76 |
Wellpoint Setting Professional Modifier None Typical Low $891.25 Median $891.25 Typical High $1,202.26 | Professional | None | $891.25 | $891.25 | $1,202.26 |
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 $812.83 Median $851.14 Typical High $1,023.29 | Professional | 54 · Surgery only | $812.83 | $851.14 | $1,023.29 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $758.58 Median $794.33 Typical High $954.99 | Professional | 78 · Unplanned return to OR | $758.58 | $794.33 | $954.99 |
Where Florida sits
The same service costs 3.4 times more in Alaska than in Maryland. 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 $8,759MD $2,608
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.