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 $1,445.44 Median $5,495.41 Typical High $12,022.64 | Facility | None | $1,445.44 | $5,495.41 | $12,022.64 |
Aetna Setting Professional Modifier None Typical Low $2,041.74 Median $2,137.96 Typical High $2,570.40 | Professional | None | $2,041.74 | $2,137.96 | $2,570.40 |
AvMed Setting Facility Modifier None Typical Low $1,071.52 Median $2,137.96 Typical High $11,748.98 | Facility | None | $1,071.52 | $2,137.96 | $11,748.98 |
AvMed Setting Professional Modifier None Typical Low $1,949.84 Median $2,570.40 Typical High $2,951.21 | Professional | None | $1,949.84 | $2,570.40 | $2,951.21 |
Cigna Setting Facility Modifier None Typical Low $616.60 Median $1,318.26 Typical High $3,311.31 | Facility | None | $616.60 | $1,318.26 | $3,311.31 |
Cigna Setting Professional Modifier None Typical Low $1,949.84 Median $2,238.72 Typical High $3,715.35 | Professional | None | $1,949.84 | $2,238.72 | $3,715.35 |
Florida Blue Setting Facility Modifier None Typical Low $831.76 Median $1,819.70 Typical High $7,413.10 | Facility | None | $831.76 | $1,819.70 | $7,413.10 |
Florida Blue Setting Professional Modifier None Typical Low $1,737.80 Median $1,949.84 Typical High $2,818.38 | Professional | None | $1,737.80 | $1,949.84 | $2,818.38 |
Molina Setting Professional Modifier None Typical Low $269.15 Median $1,778.28 Typical High $2,818.38 | Professional | None | $269.15 | $1,778.28 | $2,818.38 |
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 $1,584.89 Median $2,290.87 Typical High $4,168.69 | Professional | None | $1,584.89 | $2,290.87 | $4,168.69 |
Wellpoint Setting Professional Modifier None Typical Low $1,862.09 Median $1,862.09 Typical High $2,454.71 | Professional | None | $1,862.09 | $1,862.09 | $2,454.71 |
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 $1,023.29 Median $1,071.52 Typical High $1,230.27 | Professional | 52 · Reduced service | $1,023.29 | $1,071.52 | $1,230.27 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $407.38 Median $426.58 Typical High $489.78 | Professional | 53 · Discontinued | $407.38 | $426.58 | $489.78 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,548.82 Median $1,621.81 Typical High $1,819.70 | Professional | 54 · Surgery only | $1,548.82 | $1,621.81 | $1,819.70 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $309.03 Median $323.59 Typical High $363.08 | Professional | 55 · Aftercare only | $309.03 | $323.59 | $363.08 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $204.17 Median $213.80 Typical High $245.47 | Professional | 56 · Pre-op care only | $204.17 | $213.80 | $245.47 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,445.44 Median $1,513.56 Typical High $1,698.24 | Professional | 78 · Unplanned return to OR | $1,445.44 | $1,513.56 | $1,698.24 |
Where Florida sits
The same service costs 15.8 times more in Alaska 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· 47th of 51
$2,042
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.