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 $1,174.90 Median $6,025.60 Typical High $12,302.69 | Facility | None | $1,174.90 | $6,025.60 | $12,302.69 |
Aetna Setting Professional Modifier None Typical Low $1,148.15 Median $1,174.90 Typical High $1,548.82 | Professional | None | $1,148.15 | $1,174.90 | $1,548.82 |
AvMed Setting Facility Modifier None Typical Low $977.24 Median $2,951.21 Typical High $11,748.98 | Facility | None | $977.24 | $2,951.21 | $11,748.98 |
AvMed Setting Professional Modifier None Typical Low $1,047.13 Median $1,348.96 Typical High $1,584.89 | Professional | None | $1,047.13 | $1,348.96 | $1,584.89 |
Cigna Setting Facility Modifier None Typical Low $1,202.26 Median $3,715.35 Typical High $6,760.83 | Facility | None | $1,202.26 | $3,715.35 | $6,760.83 |
Cigna Setting Professional Modifier None Typical Low $912.01 Median $1,348.96 Typical High $2,691.53 | Professional | None | $912.01 | $1,348.96 | $2,691.53 |
Florida Blue Setting Facility Modifier None Typical Low $2,691.53 Median $6,025.60 Typical High $19,952.62 | Facility | None | $2,691.53 | $6,025.60 | $19,952.62 |
Florida Blue Setting Professional Modifier None Typical Low $851.14 Median $912.01 Typical High $1,412.54 | Professional | None | $851.14 | $912.01 | $1,412.54 |
Molina Setting Professional Modifier None Typical Low $89.13 Median $1,023.29 Typical High $1,548.82 | Professional | None | $89.13 | $1,023.29 | $1,548.82 |
United Setting Facility Modifier None Typical Low $1,584.89 Median $4,073.80 Typical High $15,488.17 | Facility | None | $1,584.89 | $4,073.80 | $15,488.17 |
United Setting Professional Modifier None Typical Low $1,071.52 Median $1,659.59 Typical High $3,467.37 | Professional | None | $1,071.52 | $1,659.59 | $3,467.37 |
Wellpoint Setting Professional Modifier None Typical Low $870.96 Median $870.96 Typical High $1,288.25 | Professional | None | $870.96 | $870.96 | $1,288.25 |
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 $870.96 Median $891.25 Typical High $1,122.02 | Professional | 54 · Surgery only | $870.96 | $891.25 | $1,122.02 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $812.83 Median $831.76 Typical High $1,071.52 | Professional | 78 · Unplanned return to OR | $812.83 | $831.76 | $1,071.52 |
Where Florida sits
The same service costs 5.4 times more in Wisconsin than in Texas. 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· 39th of 51
$1,778
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.