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 $707.95 Median $3,311.31 Typical High $11,481.54 | Facility | None | $707.95 | $3,311.31 | $11,481.54 |
Aetna Setting Professional Modifier None Typical Low $870.96 Median $912.01 Typical High $1,318.26 | Professional | None | $870.96 | $912.01 | $1,318.26 |
AvMed Setting Facility Modifier None Typical Low $501.19 Median $2,137.96 Typical High $11,748.98 | Facility | None | $501.19 | $2,137.96 | $11,748.98 |
AvMed Setting Professional Modifier None Typical Low $741.31 Median $977.24 Typical High $1,047.13 | Professional | None | $741.31 | $977.24 | $1,047.13 |
Cigna Setting Facility Modifier None Typical Low $56.23 Median $338.84 Typical High $645.65 | Facility | None | $56.23 | $338.84 | $645.65 |
Cigna Setting Professional Modifier None Typical Low $794.33 Median $831.76 Typical High $1,659.59 | Professional | None | $794.33 | $831.76 | $1,659.59 |
Florida Blue Setting Facility Modifier None Typical Low $199.53 Median $436.52 Typical High $3,981.07 | Facility | None | $199.53 | $436.52 | $3,981.07 |
Florida Blue Setting Professional Modifier None Typical Low $457.09 Median $741.31 Typical High $1,148.15 | Professional | None | $457.09 | $741.31 | $1,148.15 |
Molina Setting Professional Modifier None Typical Low $102.33 Median $645.65 Typical High $1,202.26 | Professional | None | $102.33 | $645.65 | $1,202.26 |
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 $776.25 Median $1,000.00 Typical High $1,778.28 | Professional | None | $776.25 | $1,000.00 | $1,778.28 |
Wellpoint Setting Professional Modifier None Typical Low $794.33 Median $1,071.52 Typical High $1,071.52 | Professional | None | $794.33 | $1,071.52 | $1,071.52 |
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 $645.65 Median $676.08 Typical High $933.25 | Professional | 54 · Surgery only | $645.65 | $676.08 | $933.25 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $602.56 Median $630.96 Typical High $870.96 | Professional | 78 · Unplanned return to OR | $602.56 | $630.96 | $870.96 |
Where Florida sits
The same service costs 6.3 times more in Wyoming than in Texas. 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· 48th of 51
$794
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.