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 $616.60 Median $4,365.16 Typical High $11,481.54 | Facility | None | $616.60 | $4,365.16 | $11,481.54 |
Aetna Setting Professional Modifier None Typical Low $169.82 Median $645.65 Typical High $3,162.28 | Professional | None | $169.82 | $645.65 | $3,162.28 |
Ambetter Setting Professional Modifier None Typical Low $79.43 Median $741.31 Typical High $1,778.28 | Professional | None | $79.43 | $741.31 | $1,778.28 |
AvMed Setting Facility Modifier None Typical Low $630.96 Median $2,137.96 Typical High $12,882.50 | Facility | None | $630.96 | $2,137.96 | $12,882.50 |
AvMed Setting Professional Modifier None Typical Low $165.96 Median $1,318.26 Typical High $2,041.74 | Professional | None | $165.96 | $1,318.26 | $2,041.74 |
Cigna Setting Facility Modifier None Typical Low $724.44 Median $1,778.28 Typical High $6,760.83 | Facility | None | $724.44 | $1,778.28 | $6,760.83 |
Cigna Setting Professional Modifier None Typical Low $134.90 Median $741.31 Typical High $3,019.95 | Professional | None | $134.90 | $741.31 | $3,019.95 |
Florida Blue Setting Facility Modifier None Typical Low $1,230.27 Median $2,630.27 Typical High $16,982.44 | Facility | None | $1,230.27 | $2,630.27 | $16,982.44 |
Florida Blue Setting Professional Modifier None Typical Low $1,071.52 Median $1,230.27 Typical High $3,890.45 | Professional | None | $1,071.52 | $1,230.27 | $3,890.45 |
Molina Setting Professional Modifier None Typical Low $1,288.25 Median $1,737.80 Typical High $3,388.44 | Professional | None | $1,288.25 | $1,737.80 | $3,388.44 |
United Setting Facility Modifier None Typical Low $954.99 Median $2,691.53 Typical High $10,232.93 | Facility | None | $954.99 | $2,691.53 | $10,232.93 |
United Setting Professional Modifier None Typical Low $169.82 Median $1,258.93 Typical High $4,168.69 | Professional | None | $169.82 | $1,258.93 | $4,168.69 |
Wellpoint Setting Professional Modifier None Typical Low $151.36 Median $1,584.89 Typical High $1,584.89 | Professional | None | $151.36 | $1,584.89 | $1,584.89 |
1 more rate 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 $120.23 Median $323.59 Typical High $2,398.83 | Professional | 54 · Surgery only | $120.23 | $323.59 | $2,398.83 |
Where Florida sits
The same service costs 10.5 times more in Alaska than in Nebraska. 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· 33rd of 51
$1,660
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.