How much rates vary
Facilitymedian $2,512 · 10th to 90th $1,175 to $15,849Professionalmedian $977 · 10th to 90th $363 to $1,820
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 $1,000.00 Median $6,456.54 Typical High $15,135.61 | Facility | None | $1,000.00 | $6,456.54 | $15,135.61 |
Aetna Setting Professional Modifier None (both parts) Typical Low $912.01 Median $1,122.02 Typical High $2,290.87 | Professional | None (both parts) | $912.01 | $1,122.02 | $2,290.87 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $295.12 Median $331.13 Typical High $616.60 | Professional | 26 · Professional part | $295.12 | $331.13 | $616.60 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $616.60 Median $776.25 Typical High $1,380.38 | Professional | TC · Technical part | $616.60 | $776.25 | $1,380.38 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $1,000.00 Median $1,000.00 Typical High $1,047.13 | Professional | None (both parts) | $1,000.00 | $1,000.00 | $1,047.13 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $316.23 Median $316.23 Typical High $512.86 | Professional | 26 · Professional part | $316.23 | $316.23 | $512.86 |
AvMed Setting Facility Modifier None Typical Low $616.60 Median $2,137.96 Typical High $23,442.29 | Facility | None | $616.60 | $2,137.96 | $23,442.29 |
AvMed Setting Professional Modifier None (both parts) Typical Low $588.84 Median $776.25 Typical High $912.01 | Professional | None (both parts) | $588.84 | $776.25 | $912.01 |
Cigna Setting Facility Modifier None Typical Low $1,659.59 Median $2,238.72 Typical High $12,589.25 | Facility | None | $1,659.59 | $2,238.72 | $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 $239.88 Median $371.54 Typical High $707.95 | Professional | 26 · Professional part | $239.88 | $371.54 | $707.95 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $537.03 Median $851.14 Typical High $1,513.56 | Professional | TC · Technical part | $537.03 | $851.14 | $1,513.56 |
Florida Blue Setting Facility Modifier None Typical Low $1,174.90 Median $2,290.87 Typical High $17,378.01 | Facility | None | $1,174.90 | $2,290.87 | $17,378.01 |
Florida Blue Setting Professional Modifier None (both parts) Typical Low $758.58 Median $794.33 Typical High $1,230.27 | Professional | None (both parts) | $758.58 | $794.33 | $1,230.27 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $239.88 Median $251.19 Typical High $407.38 | Professional | 26 · Professional part | $239.88 | $251.19 | $407.38 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $512.86 Median $537.03 Typical High $831.76 | Professional | TC · Technical part | $512.86 | $537.03 | $831.76 |
Molina Setting Professional Modifier None (both parts) Typical Low $295.12 Median $831.76 Typical High $1,348.96 | Professional | None (both parts) | $295.12 | $831.76 | $1,348.96 |
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 $954.99 Median $1,445.44 Typical High $2,951.21 | Professional | None (both parts) | $954.99 | $1,445.44 | $2,951.21 |
United Setting Professional Modifier 26 · Professional part Typical Low $295.12 Median $457.09 Typical High $933.25 | Professional | 26 · Professional part | $295.12 | $457.09 | $933.25 |
United Setting Professional Modifier TC · Technical part Typical Low $660.69 Median $1,000.00 Typical High $2,041.74 | Professional | TC · Technical part | $660.69 | $1,000.00 | $2,041.74 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $851.14 Median $851.14 Typical High $1,122.02 | Professional | None (both parts) | $851.14 | $851.14 | $1,122.02 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $251.19 Median $251.19 Typical High $354.81 | Professional | 26 · Professional part | $251.19 | $251.19 | $354.81 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $588.84 Median $588.84 Typical High $776.25 | Professional | TC · Technical part | $588.84 | $588.84 | $776.25 |
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 $645.65 Median $741.31 Typical High $954.99 | Professional | 54 · Surgery only | $645.65 | $741.31 | $954.99 |
Where Florida sits
The same service costs 3.8 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· 40th of 51
$1,445
WI $4,467NY $1,175
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.