How much rates vary
Facilitymedian $2,512 · 10th to 90th $1,175 to $15,849Professionalmedian $741 · 10th to 90th $275 to $1,380
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 $1,047.13 Median $6,918.31 Typical High $15,488.17 | Facility | None | $1,047.13 | $6,918.31 | $15,488.17 |
Aetna Setting Professional Modifier None (both parts) Typical Low $630.96 Median $724.44 Typical High $1,479.11 | Professional | None (both parts) | $630.96 | $724.44 | $1,479.11 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $199.53 Median $239.88 Typical High $295.12 | Professional | 26 · Professional part | $199.53 | $239.88 | $295.12 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $436.52 Median $489.78 Typical High $831.76 | Professional | TC · Technical part | $436.52 | $489.78 | $831.76 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $223.87 Median $223.87 Typical High $223.87 | Professional | 26 · Professional part | $223.87 | $223.87 | $223.87 |
AvMed Setting Facility Modifier None Typical Low $524.81 Median $2,137.96 Typical High $23,442.29 | Facility | None | $524.81 | $2,137.96 | $23,442.29 |
AvMed Setting Professional Modifier None (both parts) Typical Low $489.78 Median $645.65 Typical High $707.95 | Professional | None (both parts) | $489.78 | $645.65 | $707.95 |
Cigna Setting Facility Modifier None Typical Low $1,621.81 Median $2,187.76 Typical High $12,589.25 | Facility | None | $1,621.81 | $2,187.76 | $12,589.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $630.96 Median $954.99 Typical High $1,737.80 | Professional | None (both parts) | $630.96 | $954.99 | $1,737.80 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $169.82 Median $263.03 Typical High $512.86 | Professional | 26 · Professional part | $169.82 | $263.03 | $512.86 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $446.68 Median $676.08 Typical High $1,230.27 | Professional | TC · Technical part | $446.68 | $676.08 | $1,230.27 |
Florida Blue Setting Facility Modifier None Typical Low $1,174.90 Median $2,187.76 Typical High $17,378.01 | Facility | None | $1,174.90 | $2,187.76 | $17,378.01 |
Florida Blue Setting Professional Modifier None (both parts) Typical Low $602.56 Median $630.96 Typical High $891.25 | Professional | None (both parts) | $602.56 | $630.96 | $891.25 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $169.82 Median $177.83 Typical High $295.12 | Professional | 26 · Professional part | $169.82 | $177.83 | $295.12 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $436.52 Median $457.09 Typical High $602.56 | Professional | TC · Technical part | $436.52 | $457.09 | $602.56 |
Molina Setting Professional Modifier None (both parts) Typical Low $234.42 Median $676.08 Typical High $1,096.48 | Professional | None (both parts) | $234.42 | $676.08 | $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 $724.44 Median $1,122.02 Typical High $2,187.76 | Professional | None (both parts) | $724.44 | $1,122.02 | $2,187.76 |
United Setting Professional Modifier 26 · Professional part Typical Low $208.93 Median $323.59 Typical High $660.69 | Professional | 26 · Professional part | $208.93 | $323.59 | $660.69 |
United Setting Professional Modifier TC · Technical part Typical Low $501.19 Median $776.25 Typical High $1,548.82 | Professional | TC · Technical part | $501.19 | $776.25 | $1,548.82 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $676.08 Median $676.08 Typical High $912.01 | Professional | None (both parts) | $676.08 | $676.08 | $912.01 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $177.83 Median $177.83 Typical High $251.19 | Professional | 26 · Professional part | $177.83 | $177.83 | $251.19 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $501.19 Median $501.19 Typical High $660.69 | Professional | TC · Technical part | $501.19 | $501.19 | $660.69 |
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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $478.63 Median $549.54 Typical High $707.95 | Professional | 54 · Surgery only | $478.63 | $549.54 | $707.95 |
Where Florida sits
The same service costs 4.2 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· 33rd of 51
$1,318
WI $3,631NY $871
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.