How much rates vary
Facilitymedian $4,365 · 10th to 90th $1,549 to $15,136Professionalmedian $708 · 10th to 90th $123 to $1,380
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 $812.83 Median $6,760.83 Typical High $13,803.84 | Facility | None | $812.83 | $6,760.83 | $13,803.84 |
Aetna Setting Professional Modifier None Typical Low $707.95 Median $812.83 Typical High $1,479.11 | Professional | None | $707.95 | $812.83 | $1,479.11 |
Ambetter Setting Professional Modifier None Typical Low $501.19 Median $512.86 Typical High $794.33 | Professional | None | $501.19 | $512.86 | $794.33 |
AvMed Setting Facility Modifier None Typical Low $645.65 Median $2,137.96 Typical High $10,964.78 | Facility | None | $645.65 | $2,137.96 | $10,964.78 |
AvMed Setting Professional Modifier None Typical Low $645.65 Median $870.96 Typical High $1,047.13 | Professional | None | $645.65 | $870.96 | $1,047.13 |
Cigna Setting Facility Modifier None Typical Low $1,258.93 Median $6,025.60 Typical High $14,125.38 | Facility | None | $1,258.93 | $6,025.60 | $14,125.38 |
Cigna Setting Professional Modifier None Typical Low $602.56 Median $851.14 Typical High $1,621.81 | Professional | None | $602.56 | $851.14 | $1,621.81 |
Florida Blue Setting Facility Modifier None Typical Low $1,778.28 Median $3,548.13 Typical High $16,982.44 | Facility | None | $1,778.28 | $3,548.13 | $16,982.44 |
Florida Blue Setting Professional Modifier None Typical Low $537.03 Median $575.44 Typical High $977.24 | Professional | None | $537.03 | $575.44 | $977.24 |
Molina Setting Professional Modifier None Typical Low $104.71 Median $630.96 Typical High $1,288.25 | Professional | None | $104.71 | $630.96 | $1,288.25 |
United Setting Facility Modifier None Typical Low $1,621.81 Median $4,786.30 Typical High $15,488.17 | Facility | None | $1,621.81 | $4,786.30 | $15,488.17 |
United Setting Professional Modifier None Typical Low $691.83 Median $1,023.29 Typical High $1,862.09 | Professional | None | $691.83 | $1,023.29 | $1,862.09 |
Wellpoint Setting Professional Modifier None Typical Low $575.44 Median $575.44 Typical High $758.58 | Professional | None | $575.44 | $575.44 | $758.58 |
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 $524.81 Median $537.03 Typical High $691.83 | Professional | 54 · Surgery only | $524.81 | $537.03 | $691.83 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $489.78 Median $501.19 Typical High $645.65 | Professional | 78 · Unplanned return to OR | $489.78 | $501.19 | $645.65 |
Where Florida sits
The same service costs 6.1 times more in Colorado than in Montana. 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.
Physician feeFacility fee
CO $15,685MT $2,577
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.