How much rates vary
Facilitymedian $1,738 · 10th to 90th $347 to $9,120Professionalmedian $550 · 10th to 90th $214 to $1,047
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 $707.95 Median $5,248.07 Typical High $13,803.84 | Facility | None | $707.95 | $5,248.07 | $13,803.84 |
Aetna Setting Professional Modifier None (both parts) Typical Low $537.03 Median $602.56 Typical High $1,548.82 | Professional | None (both parts) | $537.03 | $602.56 | $1,548.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $181.97 Median $199.53 Typical High $426.58 | Professional | 26 · Professional part | $181.97 | $199.53 | $426.58 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $363.08 Median $398.11 Typical High $851.14 | Professional | TC · Technical part | $363.08 | $398.11 | $851.14 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $831.76 Median $831.76 Typical High $831.76 | Professional | None (both parts) | $831.76 | $831.76 | $831.76 |
AvMed Setting Facility Modifier None Typical Low $346.74 Median $2,137.96 Typical High $2,691.53 | Facility | None | $346.74 | $2,137.96 | $2,691.53 |
AvMed Setting Professional Modifier None (both parts) Typical Low $346.74 Median $436.52 Typical High $549.54 | Professional | None (both parts) | $346.74 | $436.52 | $549.54 |
Cigna Setting Facility Modifier None Typical Low $398.11 Median $501.19 Typical High $549.54 | Facility | None | $398.11 | $501.19 | $549.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $446.68 Median $691.83 Typical High $1,348.96 | Professional | None (both parts) | $446.68 | $691.83 | $1,348.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $162.18 Median $245.47 Typical High $457.09 | Professional | 26 · Professional part | $162.18 | $245.47 | $457.09 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $457.09 Typical High $891.25 | Professional | TC · Technical part | $281.84 | $457.09 | $891.25 |
Florida Blue Setting Facility Modifier None Typical Low $75.86 Median $144.54 Typical High $4,073.80 | Facility | None | $75.86 | $144.54 | $4,073.80 |
Florida Blue Setting Professional Modifier None (both parts) Typical Low $346.74 Median $446.68 Typical High $741.31 | Professional | None (both parts) | $346.74 | $446.68 | $741.31 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $154.88 Median $162.18 Typical High $269.15 | Professional | 26 · Professional part | $154.88 | $162.18 | $269.15 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $288.40 Typical High $478.63 | Professional | TC · Technical part | $81.28 | $288.40 | $478.63 |
Molina Setting Professional Modifier None (both parts) Typical Low $186.21 Median $467.74 Typical High $794.33 | Professional | None (both parts) | $186.21 | $467.74 | $794.33 |
United Setting Facility Modifier None Typical Low $1,000.00 Median $2,398.83 Typical High $10,715.19 | Facility | None | $1,000.00 | $2,398.83 | $10,715.19 |
United Setting Professional Modifier None (both parts) Typical Low $54.95 Median $758.58 Typical High $1,659.59 | Professional | None (both parts) | $54.95 | $758.58 | $1,659.59 |
United Setting Professional Modifier 26 · Professional part Typical Low $186.21 Median $295.12 Typical High $602.56 | Professional | 26 · Professional part | $186.21 | $295.12 | $602.56 |
United Setting Professional Modifier TC · Technical part Typical Low $354.81 Median $524.81 Typical High $1,174.90 | Professional | TC · Technical part | $354.81 | $524.81 | $1,174.90 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $501.19 Median $501.19 Typical High $660.69 | Professional | None (both parts) | $501.19 | $501.19 | $660.69 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $169.82 Median $169.82 Typical High $234.42 | Professional | 26 · Professional part | $169.82 | $169.82 | $234.42 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $331.13 Median $331.13 Typical High $436.52 | Professional | TC · Technical part | $331.13 | $331.13 | $436.52 |
5 more rates 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 52 · Reduced service Typical Low $269.15 Median $302.00 Typical High $389.05 | Professional | 52 · Reduced service | $269.15 | $302.00 | $389.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $107.15 Median $120.23 Typical High $158.49 | Professional | 53 · Discontinued | $107.15 | $120.23 | $158.49 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $407.38 Median $446.68 Typical High $588.84 | Professional | 54 · Surgery only | $407.38 | $446.68 | $588.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $81.28 Median $91.20 Typical High $117.49 | Professional | 55 · Aftercare only | $81.28 | $91.20 | $117.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $53.70 Median $60.26 Typical High $77.62 | Professional | 56 · Pre-op care only | $53.70 | $60.26 | $77.62 |
Where Florida sits
The same service costs 4.4 times more in Wisconsin than in Texas. 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· 49th of 51
$603
WI $2,630TX $603
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.