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 $776.25 Median $4,265.80 Typical High $11,748.98 | Facility | None | $776.25 | $4,265.80 | $11,748.98 |
Aetna Setting Professional Modifier None Typical Low $912.01 Median $977.24 Typical High $1,202.26 | Professional | None | $912.01 | $977.24 | $1,202.26 |
AvMed Setting Facility Modifier None Typical Low $891.25 Median $2,137.96 Typical High $11,748.98 | Facility | None | $891.25 | $2,137.96 | $11,748.98 |
AvMed Setting Professional Modifier None Typical Low $891.25 Median $1,047.13 Typical High $1,318.26 | Professional | None | $891.25 | $1,047.13 | $1,318.26 |
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 $812.83 Median $870.96 Typical High $1,513.56 | Professional | None | $812.83 | $870.96 | $1,513.56 |
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 $524.81 Median $1,000.00 Typical High $1,288.25 | Professional | None | $524.81 | $1,000.00 | $1,288.25 |
Molina Setting Professional Modifier None Typical Low $81.28 Median $870.96 Typical High $2,041.74 | Professional | None | $81.28 | $870.96 | $2,041.74 |
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 $776.25 Median $977.24 Typical High $1,659.59 | Professional | None | $776.25 | $977.24 | $1,659.59 |
Wellpoint Setting Professional Modifier None Typical Low $831.76 Median $831.76 Typical High $831.76 | Professional | None | $831.76 | $831.76 | $831.76 |
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 78 · Unplanned return to OR Typical Low $630.96 Median $691.83 Typical High $831.76 | Professional | 78 · Unplanned return to OR | $630.96 | $691.83 | $831.76 |
Where Florida sits
The same service costs 5.8 times more in Alaska 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· 48th of 51
$933
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.