How much rates vary
Facilitymedian $2,239 · 10th to 90th $871 to $11,749Professionalmedian $339 · 10th to 90th $251 to $631
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 $5,888.44 Typical High $12,022.64 | Facility | None | $776.25 | $5,888.44 | $12,022.64 |
Aetna Setting Professional Modifier None Typical Low $309.03 Median $323.59 Typical High $489.78 | Professional | None | $309.03 | $323.59 | $489.78 |
Ambetter Setting Professional Modifier None Typical Low $288.40 Median $302.00 Typical High $346.74 | Professional | None | $288.40 | $302.00 | $346.74 |
AvMed Setting Facility Modifier None Typical Low $501.19 Median $2,137.96 Typical High $9,772.37 | Facility | None | $501.19 | $2,137.96 | $9,772.37 |
AvMed Setting Professional Modifier None Typical Low $263.03 Median $354.81 Typical High $416.87 | Professional | None | $263.03 | $354.81 | $416.87 |
Cigna Setting Facility Modifier None Typical Low $616.60 Median $1,995.26 Typical High $3,311.31 | Facility | None | $616.60 | $1,995.26 | $3,311.31 |
Cigna Setting Professional Modifier None Typical Low $257.04 Median $371.54 Typical High $691.83 | Professional | None | $257.04 | $371.54 | $691.83 |
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 $223.87 Median $239.88 Typical High $398.11 | Professional | None | $223.87 | $239.88 | $398.11 |
Molina Setting Professional Modifier None Typical Low $251.19 Median $346.74 Typical High $645.65 | Professional | None | $251.19 | $346.74 | $645.65 |
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 $416.87 Typical High $776.25 | Professional | None | $281.84 | $416.87 | $776.25 |
Wellpoint Setting Professional Modifier None Typical Low $245.47 Median $245.47 Typical High $316.23 | Professional | None | $245.47 | $245.47 | $316.23 |
3 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 $229.09 Median $245.47 Typical High $316.23 | Professional | 54 · Surgery only | $229.09 | $245.47 | $316.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $45.71 Median $48.98 Typical High $63.10 | Professional | 55 · Aftercare only | $45.71 | $48.98 | $63.10 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $30.90 Median $32.36 Typical High $42.66 | Professional | 56 · Pre-op care only | $30.90 | $32.36 | $42.66 |
Where Florida sits
The same service costs 6.7 times more in Oklahoma 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
OK $7,024MT $1,050
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.