How much rates vary
Facilitymedian $224 · 10th to 90th $81 to $1,122Professionalmedian $112 · 10th to 90th $71 to $170
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 $75.86 Median $1,000.00 Typical High $2,041.74 | Facility | None | $75.86 | $1,000.00 | $2,041.74 |
Aetna Setting Professional Modifier None Typical Low $58.88 Median $93.33 Typical High $112.20 | Professional | None | $58.88 | $93.33 | $112.20 |
Ambetter Setting Professional Modifier None Typical Low $77.62 Median $97.72 Typical High $147.91 | Professional | None | $77.62 | $97.72 | $147.91 |
Ambetter Setting Professional Modifier 50 · Both sides Typical Low $114.82 Median $144.54 Typical High $223.87 | Professional | 50 · Both sides | $114.82 | $144.54 | $223.87 |
BCBS Setting Professional Modifier None Typical Low $109.65 Median $120.23 Typical High $144.54 | Professional | None | $109.65 | $120.23 | $144.54 |
CareSource Setting Professional Modifier None Typical Low $114.82 Median $114.82 Typical High $114.82 | Professional | None | $114.82 | $114.82 | $114.82 |
Cigna Setting Facility Modifier None Typical Low $380.19 Median $588.84 Typical High $1,122.02 | Facility | None | $380.19 | $588.84 | $1,122.02 |
Cigna Setting Professional Modifier None Typical Low $72.44 Median $131.83 Typical High $194.98 | Professional | None | $72.44 | $131.83 | $194.98 |
Qualchoice Setting Professional Modifier None Typical Low $89.13 Median $109.65 Typical High $169.82 | Professional | None | $89.13 | $109.65 | $169.82 |
Qualchoice Setting Professional Modifier 50 · Both sides Typical Low $131.83 Median $165.96 Typical High $257.04 | Professional | 50 · Both sides | $131.83 | $165.96 | $257.04 |
United Setting Facility Modifier None Typical Low $75.86 Median $128.82 Typical High $707.95 | Facility | None | $75.86 | $128.82 | $707.95 |
United Setting Professional Modifier None Typical Low $56.23 Median $93.33 Typical High $177.83 | Professional | None | $56.23 | $93.33 | $177.83 |
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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $56.23 Median $64.57 Typical High $85.11 | Professional | 54 · Surgery only | $56.23 | $64.57 | $85.11 |
Where Arkansas sits
The same service costs 14.3 times more in Hawaii than in Delaware. 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
HI $2,939DE $205
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.