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 $741.31 Median $6,456.54 Typical High $13,182.57 | Facility | None | $741.31 | $6,456.54 | $13,182.57 |
Aetna Setting Professional Modifier None Typical Low $354.81 Median $407.38 Typical High $478.63 | Professional | None | $354.81 | $407.38 | $478.63 |
Ambetter Setting Professional Modifier None Typical Low $446.68 Median $446.68 Typical High $446.68 | Professional | None | $446.68 | $446.68 | $446.68 |
AvMed Setting Facility Modifier None Typical Low $478.63 Median $6,309.57 Typical High $14,791.08 | Facility | None | $478.63 | $6,309.57 | $14,791.08 |
AvMed Setting Professional Modifier None Typical Low $331.13 Median $416.87 Typical High $478.63 | Professional | None | $331.13 | $416.87 | $478.63 |
Cigna Setting Facility Modifier None Typical Low $3,162.28 Median $11,748.98 Typical High $53,703.18 | Facility | None | $3,162.28 | $11,748.98 | $53,703.18 |
Cigna Setting Professional Modifier None Typical Low $302.00 Median $323.59 Typical High $602.56 | Professional | None | $302.00 | $323.59 | $602.56 |
Florida Blue Setting Facility Modifier None Typical Low $6,309.57 Median $13,489.63 Typical High $23,442.29 | Facility | None | $6,309.57 | $13,489.63 | $23,442.29 |
Florida Blue Setting Professional Modifier None Typical Low $199.53 Median $398.11 Typical High $478.63 | Professional | None | $199.53 | $398.11 | $478.63 |
Molina Setting Professional Modifier None Typical Low $77.62 Median $346.74 Typical High $758.58 | Professional | None | $77.62 | $346.74 | $758.58 |
United Setting Facility Modifier None Typical Low $2,570.40 Median $10,471.29 Typical High $16,595.87 | Facility | None | $2,570.40 | $10,471.29 | $16,595.87 |
United Setting Professional Modifier None Typical Low $302.00 Median $380.19 Typical High $616.60 | Professional | None | $302.00 | $380.19 | $616.60 |
Wellpoint Setting Professional Modifier None Typical Low $302.00 Median $302.00 Typical High $302.00 | Professional | None | $302.00 | $302.00 | $302.00 |
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 54 · Surgery only Typical Low $263.03 Median $302.00 Typical High $338.84 | Professional | 54 · Surgery only | $263.03 | $302.00 | $338.84 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $245.47 Median $281.84 Typical High $316.23 | Professional | 78 · Unplanned return to OR | $245.47 | $281.84 | $316.23 |
Ambetter Setting Professional Modifier AS · PA/NP assist Typical Low $53.70 Median $53.70 Typical High $53.70 | Professional | AS · PA/NP assist | $53.70 | $53.70 | $53.70 |
Where Florida sits
The same service costs 4.4 times more in Alaska than in Utah. 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
$363
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.