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 $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 $933.25 Median $1,071.52 Typical High $2,187.76 | Professional | None (both parts) | $933.25 | $1,071.52 | $2,187.76 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $295.12 Median $346.74 Typical High $512.86 | Professional | 26 · Professional part | $295.12 | $346.74 | $512.86 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $660.69 Median $724.44 Typical High $1,230.27 | Professional | TC · Technical part | $660.69 | $724.44 | $1,230.27 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $398.11 Median $398.11 Typical High $398.11 | Professional | 26 · Professional part | $398.11 | $398.11 | $398.11 |
AvMed Setting Facility Modifier None Typical Low $691.83 Median $2,137.96 Typical High $23,442.29 | Facility | None | $691.83 | $2,137.96 | $23,442.29 |
AvMed Setting Professional Modifier None (both parts) Typical Low $645.65 Median $870.96 Typical High $977.24 | Professional | None (both parts) | $645.65 | $870.96 | $977.24 |
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 $891.25 Median $1,318.26 Typical High $2,454.71 | Professional | None (both parts) | $891.25 | $1,318.26 | $2,454.71 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $251.19 Median $389.05 Typical High $724.44 | Professional | 26 · Professional part | $251.19 | $389.05 | $724.44 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $588.84 Median $954.99 Typical High $1,698.24 | Professional | TC · Technical part | $588.84 | $954.99 | $1,698.24 |
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 $831.76 Median $870.96 Typical High $1,318.26 | Professional | None (both parts) | $831.76 | $870.96 | $1,318.26 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $251.19 Median $263.03 Typical High $426.58 | Professional | 26 · Professional part | $251.19 | $263.03 | $426.58 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $575.44 Median $602.56 Typical High $891.25 | Professional | TC · Technical part | $575.44 | $602.56 | $891.25 |
Molina Setting Professional Modifier None (both parts) Typical Low $295.12 Median $912.01 Typical High $1,479.11 | Professional | None (both parts) | $295.12 | $912.01 | $1,479.11 |
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 $1,047.13 Median $1,548.82 Typical High $3,162.28 | Professional | None (both parts) | $1,047.13 | $1,548.82 | $3,162.28 |
United Setting Professional Modifier 26 · Professional part Typical Low $309.03 Median $478.63 Typical High $954.99 | Professional | 26 · Professional part | $309.03 | $478.63 | $954.99 |
United Setting Professional Modifier TC · Technical part Typical Low $707.95 Median $1,071.52 Typical High $2,187.76 | Professional | TC · Technical part | $707.95 | $1,071.52 | $2,187.76 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $933.25 Median $933.25 Typical High $1,230.27 | Professional | None (both parts) | $933.25 | $933.25 | $1,230.27 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $263.03 Median $263.03 Typical High $371.54 | Professional | 26 · Professional part | $263.03 | $263.03 | $371.54 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $660.69 Median $660.69 Typical High $870.96 | Professional | TC · Technical part | $660.69 | $660.69 | $870.96 |
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 $691.83 Median $794.33 Typical High $1,023.29 | Professional | 54 · Surgery only | $691.83 | $794.33 | $1,023.29 |
Where Florida sits
The same service costs 3.9 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· 39th of 51
$1,514
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.