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 $39.81 Median $40.74 Typical High $54.95 | Professional | None | $39.81 | $40.74 | $54.95 |
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 $38.02 Median $47.86 Typical High $54.95 | Professional | None | $38.02 | $47.86 | $54.95 |
Cigna Setting Facility Modifier None Typical Low $331.13 Median $1,659.59 Typical High $3,090.30 | Facility | None | $331.13 | $1,659.59 | $3,090.30 |
Cigna Setting Professional Modifier None Typical Low $33.88 Median $48.98 Typical High $95.50 | Professional | None | $33.88 | $48.98 | $95.50 |
Florida Blue Setting Facility Modifier None Typical Low $891.25 Median $1,778.28 Typical High $16,982.44 | Facility | None | $891.25 | $1,778.28 | $16,982.44 |
Florida Blue Setting Professional Modifier None Typical Low $31.62 Median $33.88 Typical High $48.98 | Professional | None | $31.62 | $33.88 | $48.98 |
Molina Setting Professional Modifier None Typical Low $52.48 Median $70.79 Typical High $141.25 | Professional | None | $52.48 | $70.79 | $141.25 |
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 $38.02 Median $54.95 Typical High $102.33 | Professional | None | $38.02 | $54.95 | $102.33 |
Wellpoint Setting Professional Modifier None Typical Low $33.88 Median $33.88 Typical High $44.67 | Professional | None | $33.88 | $33.88 | $44.67 |
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 $30.20 Median $30.90 Typical High $38.02 | Professional | 54 · Surgery only | $30.20 | $30.90 | $38.02 |
Where Florida sits
The same service costs 20.9 times more in Oklahoma 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· 7th of 51
$501
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.