How much rates vary
Facilitymedian $3,715 · 10th to 90th $501 to $19,953Professionalmedian $1,380 · 10th to 90th $251 to $2,512
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 $1,000.00 Median $4,897.79 Typical High $12,302.69 | Facility | None | $1,000.00 | $4,897.79 | $12,302.69 |
Aetna Setting Professional Modifier None Typical Low $1,412.54 Median $1,621.81 Typical High $2,089.30 | Professional | None | $1,412.54 | $1,621.81 | $2,089.30 |
Ambetter Setting Professional Modifier None Typical Low $1,479.11 Median $1,479.11 Typical High $1,548.82 | Professional | None | $1,479.11 | $1,479.11 | $1,548.82 |
AvMed Setting Facility Modifier None Typical Low $1,288.25 Median $2,137.96 Typical High $11,748.98 | Facility | None | $1,288.25 | $2,137.96 | $11,748.98 |
AvMed Setting Professional Modifier None Typical Low $1,288.25 Median $1,621.81 Typical High $1,862.09 | Professional | None | $1,288.25 | $1,621.81 | $1,862.09 |
Cigna Setting Facility Modifier None Typical Low $398.11 Median $524.81 Typical High $5,128.61 | Facility | None | $398.11 | $524.81 | $5,128.61 |
Cigna Setting Professional Modifier None Typical Low $1,202.26 Median $1,288.25 Typical High $2,344.23 | Professional | None | $1,202.26 | $1,288.25 | $2,344.23 |
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 $812.83 Median $1,621.81 Typical High $1,862.09 | Professional | None | $812.83 | $1,621.81 | $1,862.09 |
Molina Setting Professional Modifier None Typical Low $154.88 Median $1,230.27 Typical High $2,818.38 | Professional | None | $154.88 | $1,230.27 | $2,818.38 |
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 $1,202.26 Median $1,513.56 Typical High $2,511.89 | Professional | None | $1,202.26 | $1,513.56 | $2,511.89 |
Wellpoint Setting Professional Modifier None Typical Low $1,174.90 Median $1,174.90 Typical High $1,174.90 | Professional | None | $1,174.90 | $1,174.90 | $1,174.90 |
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 78 · Unplanned return to OR Typical Low $977.24 Median $1,148.15 Typical High $1,258.93 | Professional | 78 · Unplanned return to OR | $977.24 | $1,148.15 | $1,258.93 |
Ambetter Setting Professional Modifier 22 · Increased work Typical Low $1,621.81 Median $1,905.46 Typical High $2,187.76 | Professional | 22 · Increased work | $1,621.81 | $1,905.46 | $2,187.76 |
Ambetter Setting Professional Modifier AS · PA/NP assist Typical Low $245.47 Median $245.47 Typical High $245.47 | Professional | AS · PA/NP assist | $245.47 | $245.47 | $245.47 |
Where Florida sits
The same service costs 12.4 times more in Maine 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
ME $28,441MD $2,300
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.