How much rates vary
Facilitymedian $1,778 · 10th to 90th $794 to $7,943Professionalmedian $490 · 10th to 90th $219 to $851
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 $10,964.78 | Facility | None | $407.38 | $3,090.30 | $10,964.78 |
Aetna Setting Professional Modifier None Typical Low $245.47 Median $436.52 Typical High $676.08 | Professional | None | $245.47 | $436.52 | $676.08 |
Ambetter Setting Professional Modifier None Typical Low $588.84 Median $588.84 Typical High $588.84 | Professional | None | $588.84 | $588.84 | $588.84 |
AvMed Setting Facility Modifier None Typical Low $588.84 Median $2,137.96 Typical High $12,882.50 | Facility | None | $588.84 | $2,137.96 | $12,882.50 |
AvMed Setting Professional Modifier None Typical Low $331.13 Median $588.84 Typical High $776.25 | Professional | None | $331.13 | $588.84 | $776.25 |
Cigna Setting Facility Modifier None Typical Low $758.58 Median $1,148.15 Typical High $5,248.07 | Facility | None | $758.58 | $1,148.15 | $5,248.07 |
Cigna Setting Professional Modifier None Typical Low $239.88 Median $478.63 Typical High $758.58 | Professional | None | $239.88 | $478.63 | $758.58 |
Florida Blue Setting Facility Modifier None Typical Low $891.25 Median $1,819.70 Typical High $7,413.10 | Facility | None | $891.25 | $1,819.70 | $7,413.10 |
Florida Blue Setting Professional Modifier None Typical Low $229.09 Median $549.54 Typical High $794.33 | Professional | None | $229.09 | $549.54 | $794.33 |
Molina Setting Professional Modifier None Typical Low $61.66 Median $588.84 Typical High $954.99 | Professional | None | $61.66 | $588.84 | $954.99 |
United Setting Facility Modifier None Typical Low $794.33 Median $1,778.28 Typical High $8,511.38 | Facility | None | $794.33 | $1,778.28 | $8,511.38 |
United Setting Professional Modifier None Typical Low $234.42 Median $446.68 Typical High $870.96 | Professional | None | $234.42 | $446.68 | $870.96 |
Wellpoint Setting Professional Modifier None Typical Low $239.88 Median $575.44 Typical High $575.44 | Professional | None | $239.88 | $575.44 | $575.44 |
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 $181.97 Median $323.59 Typical High $457.09 | Professional | 54 · Surgery only | $181.97 | $323.59 | $457.09 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $169.82 Median $302.00 Typical High $426.58 | Professional | 78 · Unplanned return to OR | $169.82 | $302.00 | $426.58 |
Where Florida sits
The same service costs 4.3 times more in Alabama 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
AL $6,112MT $1,427
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.