How much rates vary
Facilitymedian $1,950 · 10th to 90th $813 to $10,000Professionalmedian $331 · 10th to 90th $60 to $537
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 $602.56 Median $4,677.35 Typical High $11,748.98 | Facility | None | $602.56 | $4,677.35 | $11,748.98 |
Aetna Setting Professional Modifier None Typical Low $346.74 Median $371.54 Typical High $524.81 | Professional | None | $346.74 | $371.54 | $524.81 |
Ambetter Setting Professional Modifier None Typical Low $323.59 Median $323.59 Typical High $616.60 | Professional | None | $323.59 | $323.59 | $616.60 |
AvMed Setting Facility Modifier None Typical Low $407.38 Median $2,137.96 Typical High $11,748.98 | Facility | None | $407.38 | $2,137.96 | $11,748.98 |
AvMed Setting Professional Modifier None Typical Low $323.59 Median $426.58 Typical High $489.78 | Professional | None | $323.59 | $426.58 | $489.78 |
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 $295.12 Median $316.23 Typical High $645.65 | Professional | None | $295.12 | $316.23 | $645.65 |
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 $177.83 Median $371.54 Typical High $467.74 | Professional | None | $177.83 | $371.54 | $467.74 |
Molina Setting Professional Modifier None Typical Low $50.12 Median $288.40 Typical High $501.19 | Professional | None | $50.12 | $288.40 | $501.19 |
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 $281.84 Median $371.54 Typical High $707.95 | Professional | None | $281.84 | $371.54 | $707.95 |
Wellpoint Setting Professional Modifier None Typical Low $309.03 Median $309.03 Typical High $407.38 | Professional | None | $309.03 | $309.03 | $407.38 |
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 $257.04 Median $275.42 Typical High $331.13 | Professional | 54 · Surgery only | $257.04 | $275.42 | $331.13 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $239.88 Median $257.04 Typical High $309.03 | Professional | 78 · Unplanned return to OR | $239.88 | $257.04 | $309.03 |
Where Florida sits
The same service costs 5.1 times more in Colorado than in Montana. 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
CO $6,741MT $1,322
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.