How much rates vary
Facilitymedian $2,818 · 10th to 90th $427 to $25,119Professionalmedian $457 · 10th to 90th $331 to $813
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 $416.87 Median $426.58 Typical High $549.54 | Professional | None | $416.87 | $426.58 | $549.54 |
AvMed Setting Facility Modifier None Typical Low $416.87 Median $2,137.96 Typical High $11,748.98 | Facility | None | $416.87 | $2,137.96 | $11,748.98 |
AvMed Setting Professional Modifier None Typical Low $371.54 Median $501.19 Typical High $575.44 | Professional | None | $371.54 | $501.19 | $575.44 |
Cigna Setting Facility Modifier None Typical Low $457.09 Median $2,137.96 Typical High $2,754.23 | Facility | None | $457.09 | $2,137.96 | $2,754.23 |
Cigna Setting Professional Modifier None Typical Low $331.13 Median $489.78 Typical High $977.24 | Professional | None | $331.13 | $489.78 | $977.24 |
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 $309.03 Median $323.59 Typical High $512.86 | Professional | None | $309.03 | $323.59 | $512.86 |
Molina Setting Professional Modifier None Typical Low $331.13 Median $457.09 Typical High $630.96 | Professional | None | $331.13 | $457.09 | $630.96 |
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 $389.05 Median $588.84 Typical High $1,288.25 | Professional | None | $389.05 | $588.84 | $1,288.25 |
Wellpoint Setting Professional Modifier None Typical Low $316.23 Median $316.23 Typical High $467.74 | Professional | None | $316.23 | $316.23 | $467.74 |
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 $316.23 Median $323.59 Typical High $407.38 | Professional | 54 · Surgery only | $316.23 | $323.59 | $407.38 |
Where Florida sits
The same service costs 14.4 times more in Maine than in Delaware. 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
ME $15,115DE $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.