How much rates vary
Facilitymedian $2,630 · 10th to 90th $891 to $12,023Professionalmedian $912 · 10th to 90th $692 to $1,660
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 $758.58 Median $4,786.30 Typical High $11,748.98 | Facility | None | $758.58 | $4,786.30 | $11,748.98 |
Aetna Setting Professional Modifier None Typical Low $758.58 Median $851.14 Typical High $1,122.02 | Professional | None | $758.58 | $851.14 | $1,122.02 |
Ambetter Setting Professional Modifier None Typical Low $660.69 Median $660.69 Typical High $933.25 | Professional | None | $660.69 | $660.69 | $933.25 |
AvMed Setting Facility Modifier None Typical Low $776.25 Median $2,137.96 Typical High $11,748.98 | Facility | None | $776.25 | $2,137.96 | $11,748.98 |
AvMed Setting Professional Modifier None Typical Low $776.25 Median $977.24 Typical High $1,148.15 | Professional | None | $776.25 | $977.24 | $1,148.15 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $2,041.74 Typical High $3,388.44 | Facility | None | $501.19 | $2,041.74 | $3,388.44 |
Cigna Setting Professional Modifier None Typical Low $691.83 Median $954.99 Typical High $1,778.28 | Professional | None | $691.83 | $954.99 | $1,778.28 |
Florida Blue Setting Facility Modifier None Typical Low $1,659.59 Median $3,548.13 Typical High $16,982.44 | Facility | None | $1,659.59 | $3,548.13 | $16,982.44 |
Florida Blue Setting Professional Modifier None Typical Low $630.96 Median $676.08 Typical High $1,000.00 | Professional | None | $630.96 | $676.08 | $1,000.00 |
Molina Setting Professional Modifier None Typical Low $660.69 Median $954.99 Typical High $1,737.80 | Professional | None | $660.69 | $954.99 | $1,737.80 |
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 $60.26 Median $1,000.00 Typical High $1,905.46 | Professional | None | $60.26 | $1,000.00 | $1,905.46 |
Wellpoint Setting Professional Modifier None Typical Low $776.25 Median $776.25 Typical High $912.01 | Professional | None | $776.25 | $776.25 | $912.01 |
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 $380.19 Median $426.58 Typical High $501.19 | Professional | 52 · Reduced service | $380.19 | $426.58 | $501.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $151.36 Median $169.82 Typical High $199.53 | Professional | 53 · Discontinued | $151.36 | $169.82 | $199.53 |
Where Florida sits
The same service costs 3.4 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.
Physician feeFacility fee
AK $7,351KY $2,168
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.