How much rates vary
Facilitymedian $741 · 10th to 90th $316 to $4,677Professionalmedian $107 · 10th to 90th $81 to $209
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 $407.38 Median $3,090.30 Typical High $11,481.54 | Facility | None | $407.38 | $3,090.30 | $11,481.54 |
Aetna Setting Professional Modifier None Typical Low $93.33 Median $104.71 Typical High $125.89 | Professional | None | $93.33 | $104.71 | $125.89 |
AvMed Setting Facility Modifier None Typical Low $181.97 Median $1,258.93 Typical High $9,549.93 | Facility | None | $181.97 | $1,258.93 | $9,549.93 |
AvMed Setting Professional Modifier None Typical Low $95.50 Median $123.03 Typical High $144.54 | Professional | None | $95.50 | $123.03 | $144.54 |
Cigna Setting Facility Modifier None Typical Low $323.59 Median $457.09 Typical High $1,659.59 | Facility | None | $323.59 | $457.09 | $1,659.59 |
Cigna Setting Professional Modifier None Typical Low $77.62 Median $112.20 Typical High $234.42 | Professional | None | $77.62 | $112.20 | $234.42 |
Florida Blue Setting Facility Modifier None Typical Low $363.08 Median $776.25 Typical High $4,466.84 | Facility | None | $363.08 | $776.25 | $4,466.84 |
Florida Blue Setting Professional Modifier None Typical Low $77.62 Median $83.18 Typical High $154.88 | Professional | None | $77.62 | $83.18 | $154.88 |
Molina Setting Professional Modifier None Typical Low $79.43 Median $107.15 Typical High $213.80 | Professional | None | $79.43 | $107.15 | $213.80 |
United Setting Facility Modifier None Typical Low $281.84 Median $660.69 Typical High $4,073.80 | Facility | None | $281.84 | $660.69 | $4,073.80 |
United Setting Professional Modifier None Typical Low $60.26 Median $125.89 Typical High $234.42 | Professional | None | $60.26 | $125.89 | $234.42 |
Wellpoint Setting Professional Modifier None Typical Low $81.28 Median $81.28 Typical High $112.20 | Professional | None | $81.28 | $81.28 | $112.20 |
5 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 $46.77 Median $48.98 Typical High $60.26 | Professional | 52 · Reduced service | $46.77 | $48.98 | $60.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.62 Median $19.50 Typical High $23.99 | Professional | 53 · Discontinued | $18.62 | $19.50 | $23.99 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $70.79 Median $74.13 Typical High $91.20 | Professional | 54 · Surgery only | $70.79 | $74.13 | $91.20 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $14.13 Median $14.79 Typical High $18.20 | Professional | 55 · Aftercare only | $14.13 | $14.79 | $18.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.33 Median $9.77 Typical High $12.02 | Professional | 56 · Pre-op care only | $9.33 | $9.77 | $12.02 |
Where Florida sits
The same service costs 8.1 times more in New York 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
NY $2,852MT $352
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.