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 $3,311.31 Typical High $11,481.54 | Facility | None | $407.38 | $3,311.31 | $11,481.54 |
Aetna Setting Professional Modifier None Typical Low $309.03 Median $316.23 Typical High $426.58 | Professional | None | $309.03 | $316.23 | $426.58 |
AvMed Setting Facility Modifier None Typical Low $331.13 Median $1,513.56 Typical High $9,549.93 | Facility | None | $331.13 | $1,513.56 | $9,549.93 |
AvMed Setting Professional Modifier None Typical Low $288.40 Median $363.08 Typical High $407.38 | Professional | None | $288.40 | $363.08 | $407.38 |
Cigna Setting Facility Modifier None Typical Low $331.13 Median $1,659.59 Typical High $3,019.95 | Facility | None | $331.13 | $1,659.59 | $3,019.95 |
Cigna Setting Professional Modifier None Typical Low $257.04 Median $354.81 Typical High $676.08 | Professional | None | $257.04 | $354.81 | $676.08 |
Florida Blue Setting Facility Modifier None Typical Low $977.24 Median $1,949.84 Typical High $16,982.44 | Facility | None | $977.24 | $1,949.84 | $16,982.44 |
Florida Blue Setting Professional Modifier None Typical Low $239.88 Median $257.04 Typical High $371.54 | Professional | None | $239.88 | $257.04 | $371.54 |
Molina Setting Professional Modifier None Typical Low $42.66 Median $354.81 Typical High $707.95 | Professional | None | $42.66 | $354.81 | $707.95 |
United Setting Facility Modifier None Typical Low $794.33 Median $1,778.28 Typical High $7,585.78 | Facility | None | $794.33 | $1,778.28 | $7,585.78 |
United Setting Professional Modifier None Typical Low $281.84 Median $407.38 Typical High $758.58 | Professional | None | $281.84 | $407.38 | $758.58 |
Wellpoint Setting Professional Modifier None Typical Low $263.03 Median $263.03 Typical High $338.84 | Professional | None | $263.03 | $263.03 | $338.84 |
2 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 $229.09 Median $234.42 Typical High $316.23 | Professional | 54 · Surgery only | $229.09 | $234.42 | $316.23 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $213.80 Median $218.78 Typical High $295.12 | Professional | 78 · Unplanned return to OR | $213.80 | $218.78 | $295.12 |
Where Florida sits
The same service costs 6.2 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· 27th of 51
$550
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.