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 $407.38 Median $3,019.95 Typical High $10,964.78 | Facility | None | $407.38 | $3,019.95 | $10,964.78 |
Aetna Setting Professional Modifier None Typical Low $70.79 Median $524.81 Typical High $741.31 | Professional | None | $70.79 | $524.81 | $741.31 |
AvMed Setting Facility Modifier None Typical Low $501.19 Median $2,137.96 Typical High $11,748.98 | Facility | None | $501.19 | $2,137.96 | $11,748.98 |
AvMed Setting Professional Modifier None Typical Low $77.62 Median $537.03 Typical High $741.31 | Professional | None | $77.62 | $537.03 | $741.31 |
Cigna Setting Facility Modifier None Typical Low $56.23 Median $1,548.82 Typical High $2,951.21 | Facility | None | $56.23 | $1,548.82 | $2,951.21 |
Cigna Setting Professional Modifier None Typical Low $60.26 Median $446.68 Typical High $1,071.52 | Professional | None | $60.26 | $446.68 | $1,071.52 |
Florida Blue Setting Facility Modifier None Typical Low $64.57 Median $141.25 Typical High $7,413.10 | Facility | None | $64.57 | $141.25 | $7,413.10 |
Florida Blue Setting Professional Modifier None Typical Low $446.68 Median $478.63 Typical High $676.08 | Professional | None | $446.68 | $478.63 | $676.08 |
Molina Setting Professional Modifier None Typical Low $489.78 Median $707.95 Typical High $1,380.38 | Professional | None | $489.78 | $707.95 | $1,380.38 |
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 $74.13 Median $478.63 Typical High $1,202.26 | Professional | None | $74.13 | $478.63 | $1,202.26 |
Wellpoint Setting Professional Modifier None Typical Low $56.23 Median $512.86 Typical High $512.86 | Professional | None | $56.23 | $512.86 | $512.86 |
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 $52.48 Median $165.96 Typical High $524.81 | Professional | 54 · Surgery only | $52.48 | $165.96 | $524.81 |
Where Florida sits
The same service costs 7.8 times more in Alaska than in Nebraska. 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· 41st of 51
$525
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.