How much rates vary
Facilitymedian $5,248 · 10th to 90th $851 to $21,878Professionalmedian $912 · 10th to 90th $117 to $1,698
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 $1,071.52 Median $7,079.46 Typical High $25,703.96 | Facility | None | $1,071.52 | $7,079.46 | $25,703.96 |
Aetna Setting Professional Modifier None Typical Low $1,023.29 Median $1,071.52 Typical High $1,445.44 | Professional | None | $1,023.29 | $1,071.52 | $1,445.44 |
Ambetter Setting Professional Modifier None Typical Low $501.19 Median $1,000.00 Typical High $1,122.02 | Professional | None | $501.19 | $1,000.00 | $1,122.02 |
AvMed Setting Facility Modifier None Typical Low $870.96 Median $2,137.96 Typical High $13,182.57 | Facility | None | $870.96 | $2,137.96 | $13,182.57 |
AvMed Setting Professional Modifier None Typical Low $870.96 Median $1,023.29 Typical High $1,318.26 | Professional | None | $870.96 | $1,023.29 | $1,318.26 |
Cigna Setting Facility Modifier None Typical Low $398.11 Median $549.54 Typical High $16,595.87 | Facility | None | $398.11 | $549.54 | $16,595.87 |
Cigna Setting Professional Modifier None Typical Low $831.76 Median $870.96 Typical High $1,698.24 | Professional | None | $831.76 | $870.96 | $1,698.24 |
Florida Blue Setting Facility Modifier None Typical Low $2,818.38 Median $5,888.44 Typical High $25,703.96 | Facility | None | $2,818.38 | $5,888.44 | $25,703.96 |
Florida Blue Setting Professional Modifier None Typical Low $660.69 Median $1,258.93 Typical High $1,479.11 | Professional | None | $660.69 | $1,258.93 | $1,479.11 |
Molina Setting Professional Modifier None Typical Low $83.18 Median $776.25 Typical High $1,778.28 | Professional | None | $83.18 | $776.25 | $1,778.28 |
United Setting Facility Modifier None Typical Low $1,621.81 Median $6,456.54 Typical High $15,135.61 | Facility | None | $1,621.81 | $6,456.54 | $15,135.61 |
United Setting Professional Modifier None Typical Low $851.14 Median $1,122.02 Typical High $1,819.70 | Professional | None | $851.14 | $1,122.02 | $1,819.70 |
Wellpoint Setting Professional Modifier None Typical Low $776.25 Median $776.25 Typical High $776.25 | Professional | None | $776.25 | $776.25 | $776.25 |
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 $776.25 Median $812.83 Typical High $912.01 | Professional | 54 · Surgery only | $776.25 | $812.83 | $912.01 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $724.44 Median $758.58 Typical High $851.14 | Professional | 78 · Unplanned return to OR | $724.44 | $758.58 | $851.14 |
Where Florida sits
The same service costs 8.7 times more in Maine than in Kentucky. 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 $27,149KY $3,127
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.