How much rates vary
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 $354.81 Median $3,019.95 Typical High $10,964.78 | Facility | None | $354.81 | $3,019.95 | $10,964.78 |
Aetna Setting Professional Modifier None Typical Low $30.20 Median $40.74 Typical High $57.54 | Professional | None | $30.20 | $40.74 | $57.54 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $22.39 Median $30.20 Typical High $36.31 | Professional | 54 · Surgery only | $22.39 | $30.20 | $36.31 |
Ambetter Setting Professional Modifier None Typical Low $15.49 Median $46.77 Typical High $48.98 | Professional | None | $15.49 | $46.77 | $48.98 |
AvMed Setting Facility Modifier None Typical Low $33.88 Median $2,137.96 Typical High $11,748.98 | Facility | None | $33.88 | $2,137.96 | $11,748.98 |
AvMed Setting Professional Modifier None Typical Low $32.36 Median $41.69 Typical High $54.95 | Professional | None | $32.36 | $41.69 | $54.95 |
Cigna Setting Facility Modifier None Typical Low $22.91 Median $43.65 Typical High $457.09 | Facility | None | $22.91 | $43.65 | $457.09 |
Cigna Setting Professional Modifier None Typical Low $23.99 Median $34.67 Typical High $64.57 | Professional | None | $23.99 | $34.67 | $64.57 |
Florida Blue Setting Facility Modifier None Typical Low $32.36 Median $70.79 Typical High $3,019.95 | Facility | None | $32.36 | $70.79 | $3,019.95 |
Florida Blue Setting Professional Modifier None Typical Low $20.89 Median $45.71 Typical High $54.95 | Professional | None | $20.89 | $45.71 | $54.95 |
Molina Setting Professional Modifier None Typical Low $25.70 Median $54.95 Typical High $95.50 | Professional | None | $25.70 | $54.95 | $95.50 |
United Setting Facility Modifier None Typical Low $81.28 Median $302.00 Typical High $2,818.38 | Facility | None | $81.28 | $302.00 | $2,818.38 |
United Setting Professional Modifier None Typical Low $25.70 Median $37.15 Typical High $72.44 | Professional | None | $25.70 | $37.15 | $72.44 |
Wellpoint Setting Professional Modifier None Typical Low $23.44 Median $41.69 Typical High $41.69 | Professional | None | $23.44 | $41.69 | $41.69 |
1 more rate 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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier 50 · Both sides Typical Low $70.79 Median $70.79 Typical High $70.79 | Professional | 50 · Both sides | $70.79 | $70.79 | $70.79 |
Where Florida sits
The same service costs 3.3 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.
Florida· 50th of 51
$40.74
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.