How much rates vary
Facilitymedian $2,512 · 10th to 90th $1,175 to $16,218Professionalmedian $955 · 10th to 90th $347 to $1,738
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 $1,122.02 Median $6,918.31 Typical High $15,488.17 | Facility | None | $1,122.02 | $6,918.31 | $15,488.17 |
Aetna Setting Professional Modifier None (both parts) Typical Low $831.76 Median $954.99 Typical High $1,584.89 | Professional | None (both parts) | $831.76 | $954.99 | $1,584.89 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $263.03 Median $316.23 Typical High $389.05 | Professional | 26 · Professional part | $263.03 | $316.23 | $389.05 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $562.34 Median $630.96 Typical High $1,023.29 | Professional | TC · Technical part | $562.34 | $630.96 | $1,023.29 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $436.52 Median $436.52 Typical High $436.52 | Professional | 26 · Professional part | $436.52 | $436.52 | $436.52 |
AvMed Setting Facility Modifier None Typical Low $660.69 Median $2,137.96 Typical High $23,442.29 | Facility | None | $660.69 | $2,137.96 | $23,442.29 |
AvMed Setting Professional Modifier None (both parts) Typical Low $616.60 Median $794.33 Typical High $891.25 | Professional | None (both parts) | $616.60 | $794.33 | $891.25 |
Cigna Setting Facility Modifier None Typical Low $1,659.59 Median $2,187.76 Typical High $12,589.25 | Facility | None | $1,659.59 | $2,187.76 | $12,589.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $831.76 Median $1,230.27 Typical High $2,238.72 | Professional | None (both parts) | $831.76 | $1,230.27 | $2,238.72 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $229.09 Median $346.74 Typical High $676.08 | Professional | 26 · Professional part | $229.09 | $346.74 | $676.08 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $562.34 Median $870.96 Typical High $1,584.89 | Professional | TC · Technical part | $562.34 | $870.96 | $1,584.89 |
Florida Blue Setting Facility Modifier None Typical Low $1,174.90 Median $2,238.72 Typical High $17,378.01 | Facility | None | $1,174.90 | $2,238.72 | $17,378.01 |
Florida Blue Setting Professional Modifier None (both parts) Typical Low $758.58 Median $812.83 Typical High $1,174.90 | Professional | None (both parts) | $758.58 | $812.83 | $1,174.90 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $223.87 Median $239.88 Typical High $389.05 | Professional | 26 · Professional part | $223.87 | $239.88 | $389.05 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $537.03 Median $575.44 Typical High $794.33 | Professional | TC · Technical part | $537.03 | $575.44 | $794.33 |
Molina Setting Professional Modifier None (both parts) Typical Low $295.12 Median $870.96 Typical High $1,412.54 | Professional | None (both parts) | $295.12 | $870.96 | $1,412.54 |
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 $933.25 Median $1,445.44 Typical High $2,818.38 | Professional | None (both parts) | $933.25 | $1,445.44 | $2,818.38 |
United Setting Professional Modifier 26 · Professional part Typical Low $281.84 Median $426.58 Typical High $870.96 | Professional | 26 · Professional part | $281.84 | $426.58 | $870.96 |
United Setting Professional Modifier TC · Technical part Typical Low $645.65 Median $1,000.00 Typical High $1,995.26 | Professional | TC · Technical part | $645.65 | $1,000.00 | $1,995.26 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $870.96 Median $870.96 Typical High $1,148.15 | Professional | None (both parts) | $870.96 | $870.96 | $1,148.15 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $239.88 Median $239.88 Typical High $331.13 | Professional | 26 · Professional part | $239.88 | $239.88 | $331.13 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $630.96 Median $630.96 Typical High $812.83 | Professional | TC · Technical part | $630.96 | $630.96 | $812.83 |
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 $616.60 Median $707.95 Typical High $912.01 | Professional | 54 · Surgery only | $616.60 | $707.95 | $912.01 |
Where Florida sits
The same service costs 4.0 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· 38th of 51
$1,445
WI $4,467NY $1,122
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.