How much rates vary
Facilitymedian $2,344 · 10th to 90th $1,023 to $14,454Professionalmedian $759 · 10th to 90th $117 to $1,318
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 $691.83 Median $5,128.61 Typical High $13,803.84 | Facility | None | $691.83 | $5,128.61 | $13,803.84 |
Aetna Setting Professional Modifier None (both parts) Typical Low $549.54 Median $794.33 Typical High $1,621.81 | Professional | None (both parts) | $549.54 | $794.33 | $1,621.81 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $134.90 Typical High $234.42 | Professional | 26 · Professional part | $114.82 | $134.90 | $234.42 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $467.74 Median $630.96 Typical High $1,122.02 | Professional | TC · Technical part | $467.74 | $630.96 | $1,122.02 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $123.03 Median $123.03 Typical High $234.42 | Professional | 26 · Professional part | $123.03 | $123.03 | $234.42 |
AvMed Setting Facility Modifier None Typical Low $602.56 Median $1,949.84 Typical High $20,892.96 | Facility | None | $602.56 | $1,949.84 | $20,892.96 |
AvMed Setting Professional Modifier None (both parts) Typical Low $549.54 Median $691.83 Typical High $758.58 | Professional | None (both parts) | $549.54 | $691.83 | $758.58 |
Cigna Setting Facility Modifier None Typical Low $1,621.81 Median $2,238.72 Typical High $12,589.25 | Facility | None | $1,621.81 | $2,238.72 | $12,589.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $588.84 Median $870.96 Typical High $1,584.89 | Professional | None (both parts) | $588.84 | $870.96 | $1,584.89 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $147.91 Typical High $288.40 | Professional | 26 · Professional part | $93.33 | $147.91 | $288.40 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $489.78 Median $707.95 Typical High $1,318.26 | Professional | TC · Technical part | $489.78 | $707.95 | $1,318.26 |
Florida Blue Setting Facility Modifier None Typical Low $1,071.52 Median $2,137.96 Typical High $17,378.01 | Facility | None | $1,071.52 | $2,137.96 | $17,378.01 |
Florida Blue Setting Professional Modifier None (both parts) Typical Low $575.44 Median $616.60 Typical High $794.33 | Professional | None (both parts) | $575.44 | $616.60 | $794.33 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $97.72 Typical High $169.82 | Professional | 26 · Professional part | $93.33 | $97.72 | $169.82 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $489.78 Median $512.86 Typical High $660.69 | Professional | TC · Technical part | $489.78 | $512.86 | $660.69 |
Molina Setting Professional Modifier None (both parts) Typical Low $102.33 Median $741.31 Typical High $1,096.48 | Professional | None (both parts) | $102.33 | $741.31 | $1,096.48 |
United Setting Facility Modifier None Typical Low $1,230.27 Median $3,467.37 Typical High $13,182.57 | Facility | None | $1,230.27 | $3,467.37 | $13,182.57 |
United Setting Professional Modifier None (both parts) Typical Low $660.69 Median $1,023.29 Typical High $1,995.26 | Professional | None (both parts) | $660.69 | $1,023.29 | $1,995.26 |
United Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $181.97 Typical High $380.19 | Professional | 26 · Professional part | $117.49 | $181.97 | $380.19 |
United Setting Professional Modifier TC · Technical part Typical Low $537.03 Median $831.76 Typical High $1,621.81 | Professional | TC · Technical part | $537.03 | $831.76 | $1,621.81 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $660.69 Median $660.69 Typical High $870.96 | Professional | None (both parts) | $660.69 | $660.69 | $870.96 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $100.00 Typical High $138.04 | Professional | 26 · Professional part | $100.00 | $100.00 | $138.04 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $562.34 Median $562.34 Typical High $741.31 | Professional | TC · Technical part | $562.34 | $562.34 | $741.31 |
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 $416.87 Median $489.78 Typical High $660.69 | Professional | 54 · Surgery only | $416.87 | $489.78 | $660.69 |
Where Florida sits
The same service costs 4.3 times more in Wisconsin than in New York. 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· 32nd of 51
$1,259
WI $3,467NY $813
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.