How much rates vary
Facilitymedian $2,512 · 10th to 90th $1,175 to $15,849Professionalmedian $933 · 10th to 90th $355 to $1,778
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 $1,023.29 Median $6,606.93 Typical High $15,488.17 | Facility | None | $1,023.29 | $6,606.93 | $15,488.17 |
Aetna Setting Professional Modifier None (both parts) Typical Low $851.14 Median $1,023.29 Typical High $2,089.30 | Professional | None (both parts) | $851.14 | $1,023.29 | $2,089.30 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $275.42 Median $309.03 Typical High $524.81 | Professional | 26 · Professional part | $275.42 | $309.03 | $524.81 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $575.44 Median $676.08 Typical High $1,258.93 | Professional | TC · Technical part | $575.44 | $676.08 | $1,258.93 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $295.12 Median $323.59 Typical High $562.34 | Professional | 26 · Professional part | $295.12 | $323.59 | $562.34 |
AvMed Setting Facility Modifier None Typical Low $645.65 Median $2,137.96 Typical High $23,442.29 | Facility | None | $645.65 | $2,137.96 | $23,442.29 |
AvMed Setting Professional Modifier None (both parts) Typical Low $602.56 Median $794.33 Typical High $870.96 | Professional | None (both parts) | $602.56 | $794.33 | $870.96 |
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 $812.83 Median $1,230.27 Typical High $2,187.76 | Professional | None (both parts) | $812.83 | $1,230.27 | $2,187.76 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $223.87 Median $346.74 Typical High $660.69 | Professional | 26 · Professional part | $223.87 | $346.74 | $660.69 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $549.54 Median $851.14 Typical High $1,548.82 | Professional | TC · Technical part | $549.54 | $851.14 | $1,548.82 |
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 $794.33 Typical High $1,148.15 | Professional | None (both parts) | $758.58 | $794.33 | $1,148.15 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $223.87 Median $234.42 Typical High $380.19 | Professional | 26 · Professional part | $223.87 | $234.42 | $380.19 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $524.81 Median $562.34 Typical High $776.25 | Professional | TC · Technical part | $524.81 | $562.34 | $776.25 |
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 $1,412.54 Typical High $2,754.23 | Professional | None (both parts) | $933.25 | $1,412.54 | $2,754.23 |
United Setting Professional Modifier 26 · Professional part Typical Low $275.42 Median $426.58 Typical High $851.14 | Professional | 26 · Professional part | $275.42 | $426.58 | $851.14 |
United Setting Professional Modifier TC · Technical part Typical Low $630.96 Median $977.24 Typical High $1,949.84 | Professional | TC · Technical part | $630.96 | $977.24 | $1,949.84 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $851.14 Median $851.14 Typical High $1,148.15 | Professional | None (both parts) | $851.14 | $851.14 | $1,148.15 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $234.42 Median $234.42 Typical High $323.59 | Professional | 26 · Professional part | $234.42 | $234.42 | $323.59 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $616.60 Median $616.60 Typical High $794.33 | Professional | TC · Technical part | $616.60 | $616.60 | $794.33 |
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 $891.25 | Professional | 54 · Surgery only | $616.60 | $707.95 | $891.25 |
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.