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 $1,621.81 Median $1,995.26 Typical High $2,454.71 | Professional | None | $1,621.81 | $1,995.26 | $2,454.71 |
AvMed Setting Facility Modifier None Typical Low $1,445.44 Median $2,344.23 Typical High $11,748.98 | Facility | None | $1,445.44 | $2,344.23 | $11,748.98 |
AvMed Setting Professional Modifier None Typical Low $1,778.28 Median $2,089.30 Typical High $2,570.40 | Professional | None | $1,778.28 | $2,089.30 | $2,570.40 |
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 $1,621.81 Median $1,737.80 Typical High $3,019.95 | Professional | None | $1,621.81 | $1,737.80 | $3,019.95 |
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 $912.01 Median $1,995.26 Typical High $2,570.40 | Professional | None | $912.01 | $1,995.26 | $2,570.40 |
Molina Setting Professional Modifier None Typical Low $181.97 Median $1,548.82 Typical High $3,548.13 | Professional | None | $181.97 | $1,548.82 | $3,548.13 |
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 $1,548.82 Median $1,949.84 Typical High $3,235.94 | Professional | None | $1,548.82 | $1,949.84 | $3,235.94 |
Wellpoint Setting Professional Modifier None Typical Low $1,621.81 Median $1,621.81 Typical High $1,621.81 | Professional | None | $1,621.81 | $1,621.81 | $1,621.81 |
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 $1,148.15 Median $1,412.54 Typical High $1,698.24 | Professional | 78 · Unplanned return to OR | $1,148.15 | $1,412.54 | $1,698.24 |
Where Florida sits
The same service costs 21.9 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· 49th of 51
$1,738
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.