How much rates vary
Facilitymedian $692 · 10th to 90th $76 to $6,026Professionalmedian $832 · 10th to 90th $87 to $1,288
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 $549.54 Median $3,019.95 Typical High $10,964.78 | Facility | None | $549.54 | $3,019.95 | $10,964.78 |
Aetna Setting Professional Modifier None Typical Low $109.65 Median $741.31 Typical High $1,047.13 | Professional | None | $109.65 | $741.31 | $1,047.13 |
Ambetter Setting Professional Modifier None Typical Low $1,258.93 Median $1,258.93 Typical High $1,258.93 | Professional | None | $1,258.93 | $1,258.93 | $1,258.93 |
AvMed Setting Facility Modifier None Typical Low $630.96 Median $2,137.96 Typical High $11,748.98 | Facility | None | $630.96 | $2,137.96 | $11,748.98 |
AvMed Setting Professional Modifier None Typical Low $109.65 Median $933.25 Typical High $1,258.93 | Professional | None | $109.65 | $933.25 | $1,258.93 |
Cigna Setting Facility Modifier None Typical Low $489.78 Median $891.25 Typical High $5,248.07 | Facility | None | $489.78 | $891.25 | $5,248.07 |
Cigna Setting Professional Modifier None Typical Low $83.18 Median $331.13 Typical High $1,202.26 | Professional | None | $83.18 | $331.13 | $1,202.26 |
Florida Blue Setting Facility Modifier None Typical Low $64.57 Median $141.25 Typical High $6,309.57 | Facility | None | $64.57 | $141.25 | $6,309.57 |
Florida Blue Setting Professional Modifier None Typical Low $457.09 Median $977.24 Typical High $1,348.96 | Professional | None | $457.09 | $977.24 | $1,348.96 |
Molina Setting Professional Modifier None Typical Low $109.65 Median $1,000.00 Typical High $2,454.71 | Professional | None | $109.65 | $1,000.00 | $2,454.71 |
United Setting Facility Modifier None Typical Low $281.84 Median $660.69 Typical High $4,073.80 | Facility | None | $281.84 | $660.69 | $4,073.80 |
United Setting Professional Modifier None Typical Low $93.33 Median $630.96 Typical High $1,230.27 | Professional | None | $93.33 | $630.96 | $1,230.27 |
Wellpoint Setting Professional Modifier None Typical Low $81.28 Median $933.25 Typical High $933.25 | Professional | None | $81.28 | $933.25 | $933.25 |
5 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 52 · Reduced service Typical Low $54.95 Median $371.54 Typical High $436.52 | Professional | 52 · Reduced service | $54.95 | $371.54 | $436.52 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $147.91 Typical High $173.78 | Professional | 53 · Discontinued | $21.88 | $147.91 | $173.78 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $81.28 Median $562.34 Typical High $645.65 | Professional | 54 · Surgery only | $81.28 | $562.34 | $645.65 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $16.22 Median $112.20 Typical High $128.82 | Professional | 55 · Aftercare only | $16.22 | $112.20 | $128.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.96 Median $74.13 Typical High $87.10 | Professional | 56 · Pre-op care only | $10.96 | $74.13 | $87.10 |
Where Florida sits
The same service costs 5.5 times more in Hawaii 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
HI $4,440MD $808
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.