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 $169.82 Median $3,019.95 Typical High $10,964.78 | Facility | None | $169.82 | $3,019.95 | $10,964.78 |
Aetna Setting Professional Modifier None Typical Low $102.33 Median $158.49 Typical High $269.15 | Professional | None | $102.33 | $158.49 | $269.15 |
Ambetter Setting Professional Modifier None Typical Low $141.25 Median $199.53 Typical High $223.87 | Professional | None | $141.25 | $199.53 | $223.87 |
AvMed Setting Facility Modifier None Typical Low $165.96 Median $2,137.96 Typical High $11,748.98 | Facility | None | $165.96 | $2,137.96 | $11,748.98 |
AvMed Setting Professional Modifier None Typical Low $131.83 Median $186.21 Typical High $239.88 | Professional | None | $131.83 | $186.21 | $239.88 |
Cigna Setting Facility Modifier None Typical Low $165.96 Median $309.03 Typical High $1,659.59 | Facility | None | $165.96 | $309.03 | $1,659.59 |
Cigna Setting Professional Modifier None Typical Low $112.20 Median $177.83 Typical High $338.84 | Professional | None | $112.20 | $177.83 | $338.84 |
Florida Blue Setting Facility Modifier None Typical Low $114.82 Median $251.19 Typical High $3,019.95 | Facility | None | $114.82 | $251.19 | $3,019.95 |
Florida Blue Setting Professional Modifier None Typical Low $134.90 Median $158.49 Typical High $208.93 | Professional | None | $134.90 | $158.49 | $208.93 |
Molina Setting Professional Modifier None Typical Low $173.78 Median $204.17 Typical High $446.68 | Professional | None | $173.78 | $204.17 | $446.68 |
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 $123.03 Median $194.98 Typical High $380.19 | Professional | None | $123.03 | $194.98 | $380.19 |
Wellpoint Setting Professional Modifier None Typical Low $104.71 Median $173.78 Typical High $173.78 | Professional | None | $104.71 | $173.78 | $173.78 |
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 $67.61 Median $100.00 Typical High $154.88 | Professional | 54 · Surgery only | $67.61 | $100.00 | $154.88 |
Where Florida sits
The same service costs 4.2 times more in Alaska 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
$191
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.