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 $50.12 Median $56.23 Typical High $812.83 | Facility | None | $50.12 | $56.23 | $812.83 |
Aetna Setting Professional Modifier None Typical Low $50.12 Median $54.95 Typical High $67.61 | Professional | None | $50.12 | $54.95 | $67.61 |
AvMed Setting Facility Modifier None Typical Low $52.48 Median $2,137.96 Typical High $23,442.29 | Facility | None | $52.48 | $2,137.96 | $23,442.29 |
AvMed Setting Professional Modifier None Typical Low $47.86 Median $57.54 Typical High $66.07 | Professional | None | $47.86 | $57.54 | $66.07 |
Cigna Setting Facility Modifier None Typical Low $81.28 Median $6,025.60 Typical High $7,244.36 | Facility | None | $81.28 | $6,025.60 | $7,244.36 |
Cigna Setting Professional Modifier None Typical Low $40.74 Median $63.10 Typical High $125.89 | Professional | None | $40.74 | $63.10 | $125.89 |
Florida Blue Setting Facility Modifier None Typical Low $446.68 Median $691.83 Typical High $2,398.83 | Facility | None | $446.68 | $691.83 | $2,398.83 |
Florida Blue Setting Professional Modifier None Typical Low $39.81 Median $41.69 Typical High $61.66 | Professional | None | $39.81 | $41.69 | $61.66 |
Molina Setting Professional Modifier None Typical Low $26.92 Median $37.15 Typical High $58.88 | Professional | None | $26.92 | $37.15 | $58.88 |
United Setting Facility Modifier None Typical Low $81.28 Median $302.00 Typical High $2,818.38 | Facility | None | $81.28 | $302.00 | $2,818.38 |
United Setting Professional Modifier None Typical Low $51.29 Median $75.86 Typical High $162.18 | Professional | None | $51.29 | $75.86 | $162.18 |
Wellpoint Setting Professional Modifier None Typical Low $41.69 Median $41.69 Typical High $60.26 | Professional | None | $41.69 | $41.69 | $60.26 |
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 $38.02 Median $40.74 Typical High $50.12 | Professional | 54 · Surgery only | $38.02 | $40.74 | $50.12 |
Where Florida sits
The same service costs 3.5 times more in Wisconsin than in South Carolina. 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· 34th of 51
$77.62
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.