How much rates vary
Facilitymedian $2,399 · 10th to 90th $398 to $24,547Professionalmedian $309 · 10th to 90th $224 to $562
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 $645.65 Median $3,890.45 Typical High $12,022.64 | Facility | None | $645.65 | $3,890.45 | $12,022.64 |
Aetna Setting Professional Modifier None Typical Low $281.84 Median $288.40 Typical High $645.65 | Professional | None | $281.84 | $288.40 | $645.65 |
Ambetter Setting Professional Modifier None Typical Low $229.09 Median $229.09 Typical High $229.09 | Professional | None | $229.09 | $229.09 | $229.09 |
AvMed Setting Facility Modifier None Typical Low $275.42 Median $2,137.96 Typical High $11,748.98 | Facility | None | $275.42 | $2,137.96 | $11,748.98 |
AvMed Setting Professional Modifier None Typical Low $239.88 Median $302.00 Typical High $363.08 | Professional | None | $239.88 | $302.00 | $363.08 |
Cigna Setting Facility Modifier None Typical Low $398.11 Median $501.19 Typical High $2,691.53 | Facility | None | $398.11 | $501.19 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $223.87 Median $323.59 Typical High $630.96 | Professional | None | $223.87 | $323.59 | $630.96 |
Florida Blue Setting Facility Modifier None Typical Low $10,000.00 Median $21,877.62 Typical High $33,884.42 | Facility | None | $10,000.00 | $21,877.62 | $33,884.42 |
Florida Blue Setting Professional Modifier None Typical Low $208.93 Median $218.78 Typical High $346.74 | Professional | None | $208.93 | $218.78 | $346.74 |
Molina Setting Professional Modifier None Typical Low $223.87 Median $302.00 Typical High $416.87 | Professional | None | $223.87 | $302.00 | $416.87 |
United Setting Facility Modifier None Typical Low $371.54 Median $954.99 Typical High $7,585.78 | Facility | None | $371.54 | $954.99 | $7,585.78 |
United Setting Professional Modifier None Typical Low $275.42 Median $416.87 Typical High $831.76 | Professional | None | $275.42 | $416.87 | $831.76 |
Wellpoint Setting Professional Modifier None Typical Low $218.78 Median $218.78 Typical High $316.23 | Professional | None | $218.78 | $218.78 | $316.23 |
5 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 52 · Reduced service Typical Low $141.25 Median $144.54 Typical High $181.97 | Professional | 52 · Reduced service | $141.25 | $144.54 | $181.97 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $56.23 Median $57.54 Typical High $74.13 | Professional | 53 · Discontinued | $56.23 | $57.54 | $74.13 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $208.93 Median $213.80 Typical High $275.42 | Professional | 54 · Surgery only | $208.93 | $213.80 | $275.42 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $42.66 Median $42.66 Typical High $54.95 | Professional | 55 · Aftercare only | $42.66 | $42.66 | $54.95 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $28.18 Median $28.84 Typical High $36.31 | Professional | 56 · Pre-op care only | $28.18 | $28.84 | $36.31 |
Where Florida sits
The same service costs 6.1 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 $5,496MD $901
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.