How much rates vary
Facilitymedian $2,042 · 10th to 90th $417 to $8,318Professionalmedian $2,399 · 10th to 90th $1,995 to $4,467
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 $2,187.76 Median $3,090.30 Typical High $3,090.30 | Facility | None | $2,187.76 | $3,090.30 | $3,090.30 |
Aetna Setting Professional Modifier None Typical Low $2,089.30 Median $2,344.23 Typical High $3,630.78 | Professional | None | $2,089.30 | $2,344.23 | $3,630.78 |
Ambetter Setting Professional Modifier None Typical Low $2,290.87 Median $2,290.87 Typical High $4,365.16 | Professional | None | $2,290.87 | $2,290.87 | $4,365.16 |
AvMed Setting Facility Modifier None Typical Low $1,445.44 Median $2,511.89 Typical High $11,748.98 | Facility | None | $1,445.44 | $2,511.89 | $11,748.98 |
AvMed Setting Professional Modifier None Typical Low $1,995.26 Median $2,398.83 Typical High $3,019.95 | Professional | None | $1,995.26 | $2,398.83 | $3,019.95 |
Cigna Setting Facility Modifier None Typical Low $457.09 Median $1,047.13 Typical High $2,691.53 | Facility | None | $457.09 | $1,047.13 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $2,398.83 Median $2,398.83 Typical High $4,786.30 | Professional | None | $2,398.83 | $2,398.83 | $4,786.30 |
Florida Blue Setting Facility Modifier None Typical Low $1,348.96 Median $2,754.23 Typical High $6,309.57 | Facility | None | $1,348.96 | $2,754.23 | $6,309.57 |
Florida Blue Setting Professional Modifier None Typical Low $1,479.11 Median $1,778.28 Typical High $2,187.76 | Professional | None | $1,479.11 | $1,778.28 | $2,187.76 |
Molina Setting Professional Modifier None Typical Low $1,995.26 Median $2,754.23 Typical High $5,011.87 | Professional | None | $1,995.26 | $2,754.23 | $5,011.87 |
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 $2,290.87 Typical High $4,073.80 | Professional | None | $60.26 | $2,290.87 | $4,073.80 |
Wellpoint Setting Professional Modifier None Typical Low $2,344.23 Median $2,344.23 Typical High $2,511.89 | Professional | None | $2,344.23 | $2,344.23 | $2,511.89 |
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 52 · Reduced service Typical Low $1,047.13 Median $1,096.48 Typical High $1,258.93 | Professional | 52 · Reduced service | $1,047.13 | $1,096.48 | $1,258.93 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $416.87 Median $436.52 Typical High $501.19 | Professional | 53 · Discontinued | $416.87 | $436.52 | $501.19 |
Where Florida sits
The same service costs 4.3 times more in Alaska 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
AK $12,394AR $2,907
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.