How much rates vary
Facilitymedian $1,950 · 10th to 90th $851 to $10,000Professionalmedian $776 · 10th to 90th $148 to $1,259
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 $776.25 Median $954.99 Typical High $1,174.90 | Professional | None | $776.25 | $954.99 | $1,174.90 |
AvMed Setting Facility Modifier None Typical Low $794.33 Median $2,137.96 Typical High $11,748.98 | Facility | None | $794.33 | $2,137.96 | $11,748.98 |
AvMed Setting Professional Modifier None Typical Low $794.33 Median $1,023.29 Typical High $1,174.90 | Professional | None | $794.33 | $1,023.29 | $1,174.90 |
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 $741.31 Median $776.25 Typical High $1,584.89 | Professional | None | $741.31 | $776.25 | $1,584.89 |
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 $389.05 Median $851.14 Typical High $1,071.52 | Professional | None | $389.05 | $851.14 | $1,071.52 |
Molina Setting Professional Modifier None Typical Low $89.13 Median $616.60 Typical High $1,148.15 | Professional | None | $89.13 | $616.60 | $1,148.15 |
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 $691.83 Median $912.01 Typical High $1,778.28 | Professional | None | $691.83 | $912.01 | $1,778.28 |
Wellpoint Setting Professional Modifier None Typical Low $741.31 Median $741.31 Typical High $1,000.00 | Professional | None | $741.31 | $741.31 | $1,000.00 |
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 $575.44 Median $707.95 Typical High $831.76 | Professional | 54 · Surgery only | $575.44 | $707.95 | $831.76 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $537.03 Median $660.69 Typical High $776.25 | Professional | 78 · Unplanned return to OR | $537.03 | $660.69 | $776.25 |
Where Florida sits
The same service costs 3.7 times more in Alabama 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
AL $8,874MD $2,372
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.