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 $354.81 Median $3,019.95 Typical High $10,964.78 | Facility | None | $354.81 | $3,019.95 | $10,964.78 |
Aetna Setting Professional Modifier None Typical Low $34.67 Median $50.12 Typical High $72.44 | Professional | None | $34.67 | $50.12 | $72.44 |
AvMed Setting Facility Modifier None Typical Low $45.71 Median $2,137.96 Typical High $11,748.98 | Facility | None | $45.71 | $2,137.96 | $11,748.98 |
AvMed Setting Professional Modifier None Typical Low $38.90 Median $61.66 Typical High $77.62 | Professional | None | $38.90 | $61.66 | $77.62 |
Cigna Setting Facility Modifier None Typical Low $45.71 Median $57.54 Typical High $407.38 | Facility | None | $45.71 | $57.54 | $407.38 |
Cigna Setting Professional Modifier None Typical Low $29.51 Median $53.70 Typical High $112.20 | Professional | None | $29.51 | $53.70 | $112.20 |
Florida Blue Setting Facility Modifier None Typical Low $32.36 Median $70.79 Typical High $3,019.95 | Facility | None | $32.36 | $70.79 | $3,019.95 |
Florida Blue Setting Professional Modifier None Typical Low $45.71 Median $54.95 Typical High $70.79 | Professional | None | $45.71 | $54.95 | $70.79 |
Molina Setting Professional Modifier None Typical Low $50.12 Median $70.79 Typical High $141.25 | Professional | None | $50.12 | $70.79 | $141.25 |
United Setting Facility Modifier None Typical Low $81.28 Median $302.00 Typical High $2,818.38 | Facility | None | $81.28 | $302.00 | $2,818.38 |
United Setting Professional Modifier None Typical Low $34.67 Median $61.66 Typical High $120.23 | Professional | None | $34.67 | $61.66 | $120.23 |
Wellpoint Setting Professional Modifier None Typical Low $26.92 Median $57.54 Typical High $57.54 | Professional | None | $26.92 | $57.54 | $57.54 |
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 54 · Surgery only Typical Low $25.70 Median $38.02 Typical High $53.70 | Professional | 54 · Surgery only | $25.70 | $38.02 | $53.70 |
Where Florida sits
The same service costs 3.5 times more in Wisconsin than in Kentucky. 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
$64.57
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.