How much rates vary
Facilitymedian $1,660 · 10th to 90th $617 to $7,413Professionalmedian $708 · 10th to 90th $204 to $1,122
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 $660.69 Median $3,801.89 Typical High $11,748.98 | Facility | None | $660.69 | $3,801.89 | $11,748.98 |
Aetna Setting Professional Modifier None Typical Low $588.84 Median $707.95 Typical High $870.96 | Professional | None | $588.84 | $707.95 | $870.96 |
AvMed Setting Facility Modifier None Typical Low $724.44 Median $1,905.46 Typical High $9,549.93 | Facility | None | $724.44 | $1,905.46 | $9,549.93 |
AvMed Setting Professional Modifier None Typical Low $724.44 Median $831.76 Typical High $1,096.48 | Professional | None | $724.44 | $831.76 | $1,096.48 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $1,318.26 Typical High $2,691.53 | Facility | None | $501.19 | $1,318.26 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $549.54 Median $691.83 Typical High $1,148.15 | Professional | None | $549.54 | $691.83 | $1,148.15 |
Florida Blue Setting Facility Modifier None Typical Low $870.96 Median $1,995.26 Typical High $8,511.38 | Facility | None | $870.96 | $1,995.26 | $8,511.38 |
Florida Blue Setting Professional Modifier None Typical Low $676.08 Median $741.31 Typical High $1,122.02 | Professional | None | $676.08 | $741.31 | $1,122.02 |
Molina Setting Professional Modifier None Typical Low $112.20 Median $724.44 Typical High $1,148.15 | Professional | None | $112.20 | $724.44 | $1,148.15 |
United Setting Facility Modifier None Typical Low $398.11 Median $1,000.00 Typical High $5,623.41 | Facility | None | $398.11 | $1,000.00 | $5,623.41 |
United Setting Professional Modifier None Typical Low $489.78 Median $707.95 Typical High $1,258.93 | Professional | None | $489.78 | $707.95 | $1,258.93 |
Wellpoint Setting Professional Modifier None Typical Low $524.81 Median $758.58 Typical High $758.58 | Professional | None | $524.81 | $758.58 | $758.58 |
6 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 $295.12 Median $354.81 Typical High $398.11 | Professional | 52 · Reduced service | $295.12 | $354.81 | $398.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $117.49 Median $141.25 Typical High $158.49 | Professional | 53 · Discontinued | $117.49 | $141.25 | $158.49 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $436.52 Median $524.81 Typical High $602.56 | Professional | 54 · Surgery only | $436.52 | $524.81 | $602.56 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $89.13 Median $104.71 Typical High $120.23 | Professional | 55 · Aftercare only | $89.13 | $104.71 | $120.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $58.88 Median $70.79 Typical High $79.43 | Professional | 56 · Pre-op care only | $58.88 | $70.79 | $79.43 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $407.38 Median $489.78 Typical High $562.34 | Professional | 78 · Unplanned return to OR | $407.38 | $489.78 | $562.34 |
Where Florida sits
The same service costs 3.7 times more in Alaska than in Delaware. 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.
Physician feeFacility fee
AK $6,113DE $1,645
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.