How much rates vary
Facilitymedian $2,512 · 10th to 90th $1,175 to $15,488Professionalmedian $1,072 · 10th to 90th $447 to $2,042
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 $1,071.52 Median $6,456.54 Typical High $15,135.61 | Facility | None | $1,071.52 | $6,456.54 | $15,135.61 |
Aetna Setting Professional Modifier None (both parts) Typical Low $977.24 Median $1,230.27 Typical High $2,398.83 | Professional | None (both parts) | $977.24 | $1,230.27 | $2,398.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $331.13 Median $371.54 Typical High $691.83 | Professional | 26 · Professional part | $331.13 | $371.54 | $691.83 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $645.65 Median $891.25 Typical High $1,445.44 | Professional | TC · Technical part | $645.65 | $891.25 | $1,445.44 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $354.81 Median $389.05 Typical High $575.44 | Professional | 26 · Professional part | $354.81 | $389.05 | $575.44 |
AvMed Setting Facility Modifier None Typical Low $676.08 Median $2,137.96 Typical High $20,892.96 | Facility | None | $676.08 | $2,137.96 | $20,892.96 |
AvMed Setting Professional Modifier None (both parts) Typical Low $645.65 Median $851.14 Typical High $954.99 | Professional | None (both parts) | $645.65 | $851.14 | $954.99 |
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 $912.01 Median $1,348.96 Typical High $2,454.71 | Professional | None (both parts) | $912.01 | $1,348.96 | $2,454.71 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $269.15 Median $407.38 Typical High $794.33 | Professional | 26 · Professional part | $269.15 | $407.38 | $794.33 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $588.84 Median $933.25 Typical High $1,659.59 | Professional | TC · Technical part | $588.84 | $933.25 | $1,659.59 |
Florida Blue Setting Facility Modifier None Typical Low $1,174.90 Median $2,344.23 Typical High $17,378.01 | Facility | None | $1,174.90 | $2,344.23 | $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 $269.15 Median $281.84 Typical High $457.09 | Professional | 26 · Professional part | $269.15 | $281.84 | $457.09 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $562.34 Median $602.56 Typical High $870.96 | Professional | TC · Technical part | $562.34 | $602.56 | $870.96 |
Molina Setting Professional Modifier None (both parts) Typical Low $363.08 Median $912.01 Typical High $1,513.56 | Professional | None (both parts) | $363.08 | $912.01 | $1,513.56 |
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 $1,584.89 Typical High $3,162.28 | Professional | None (both parts) | $1,047.13 | $1,584.89 | $3,162.28 |
United Setting Professional Modifier 26 · Professional part Typical Low $331.13 Median $512.86 Typical High $1,023.29 | Professional | 26 · Professional part | $331.13 | $512.86 | $1,023.29 |
United Setting Professional Modifier TC · Technical part Typical Low $707.95 Median $1,047.13 Typical High $2,137.96 | Professional | TC · Technical part | $707.95 | $1,047.13 | $2,137.96 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $933.25 Median $933.25 Typical High $1,258.93 | Professional | None (both parts) | $933.25 | $933.25 | $1,258.93 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $281.84 Median $281.84 Typical High $398.11 | Professional | 26 · Professional part | $281.84 | $281.84 | $398.11 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $660.69 Median $660.69 Typical High $851.14 | Professional | TC · Technical part | $660.69 | $660.69 | $851.14 |
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
$1,549
WI $4,898NY $1,259
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.