How much rates vary
Facilitymedian $2,188 · 10th to 90th $427 to $24,547Professionalmedian $912 · 10th to 90th $617 to $1,698
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 $794.33 Median $851.14 Typical High $1,047.13 | Facility | None | $794.33 | $851.14 | $1,047.13 |
Aetna Setting Professional Modifier None Typical Low $812.83 Median $851.14 Typical High $1,862.09 | Professional | None | $812.83 | $851.14 | $1,862.09 |
Ambetter Setting Professional Modifier None Typical Low $812.83 Median $912.01 Typical High $1,348.96 | Professional | None | $812.83 | $912.01 | $1,348.96 |
AvMed Setting Facility Modifier None Typical Low $724.44 Median $2,137.96 Typical High $11,748.98 | Facility | None | $724.44 | $2,137.96 | $11,748.98 |
AvMed Setting Professional Modifier None Typical Low $776.25 Median $977.24 Typical High $1,202.26 | Professional | None | $776.25 | $977.24 | $1,202.26 |
Cigna Setting Facility Modifier None Typical Low $398.11 Median $501.19 Typical High $2,691.53 | Facility | None | $398.11 | $501.19 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $691.83 Median $933.25 Typical High $1,862.09 | Professional | None | $691.83 | $933.25 | $1,862.09 |
Florida Blue Setting Facility Modifier None Typical Low $10,471.29 Median $22,387.21 Typical High $33,884.42 | Facility | None | $10,471.29 | $22,387.21 | $33,884.42 |
Florida Blue Setting Professional Modifier None Typical Low $630.96 Median $676.08 Typical High $1,071.52 | Professional | None | $630.96 | $676.08 | $1,071.52 |
Molina Setting Professional Modifier None Typical Low $616.60 Median $912.01 Typical High $1,659.59 | Professional | None | $616.60 | $912.01 | $1,659.59 |
United Setting Facility Modifier None Typical Low $371.54 Median $954.99 Typical High $7,585.78 | Facility | None | $371.54 | $954.99 | $7,585.78 |
United Setting Professional Modifier None Typical Low $60.26 Median $1,023.29 Typical High $1,905.46 | Professional | None | $60.26 | $1,023.29 | $1,905.46 |
Wellpoint Setting Professional Modifier None Typical Low $616.60 Median $616.60 Typical High $912.01 | Professional | None | $616.60 | $616.60 | $912.01 |
4 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 52 · Reduced service Typical Low $398.11 Median $416.87 Typical High $501.19 | Professional | 52 · Reduced service | $398.11 | $416.87 | $501.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $158.49 Median $169.82 Typical High $199.53 | Professional | 53 · Discontinued | $158.49 | $169.82 | $199.53 |
Ambetter Setting Professional Modifier 80 · Assistant surgeon Typical Low $151.36 Median $151.36 Typical High $251.19 | Professional | 80 · Assistant surgeon | $151.36 | $151.36 | $251.19 |
Ambetter Setting Professional Modifier AS · PA/NP assist Typical Low $104.71 Median $131.83 Typical High $190.55 | Professional | AS · PA/NP assist | $104.71 | $131.83 | $190.55 |
Where Florida sits
The same service costs 10.3 times more in Maine than in Arkansas. 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
ME $15,629AR $1,524
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.