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 $6,025.60 Typical High $12,302.69 | Facility | None | $1,445.44 | $6,025.60 | $12,302.69 |
Aetna Setting Professional Modifier None Typical Low $2,187.76 Median $2,398.83 Typical High $2,884.03 | Professional | None | $2,187.76 | $2,398.83 | $2,884.03 |
AvMed Setting Facility Modifier None Typical Low $1,479.11 Median $2,818.38 Typical High $11,748.98 | Facility | None | $1,479.11 | $2,818.38 | $11,748.98 |
AvMed Setting Professional Modifier None Typical Low $1,995.26 Median $2,630.27 Typical High $3,090.30 | Professional | None | $1,995.26 | $2,630.27 | $3,090.30 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $5,248.07 Typical High $8,511.38 | Facility | None | $512.86 | $5,248.07 | $8,511.38 |
Cigna Setting Professional Modifier None Typical Low $1,905.46 Median $2,041.74 Typical High $4,073.80 | Professional | None | $1,905.46 | $2,041.74 | $4,073.80 |
Florida Blue Setting Facility Modifier None Typical Low $2,818.38 Median $5,495.41 Typical High $16,982.44 | Facility | None | $2,818.38 | $5,495.41 | $16,982.44 |
Florida Blue Setting Professional Modifier None Typical Low $1,122.02 Median $2,344.23 Typical High $2,951.21 | Professional | None | $1,122.02 | $2,344.23 | $2,951.21 |
Molina Setting Professional Modifier None Typical Low $229.09 Median $1,584.89 Typical High $2,884.03 | Professional | None | $229.09 | $1,584.89 | $2,884.03 |
United Setting Facility Modifier None Typical Low $1,584.89 Median $4,073.80 Typical High $15,488.17 | Facility | None | $1,584.89 | $4,073.80 | $15,488.17 |
United Setting Professional Modifier None Typical Low $1,778.28 Median $2,344.23 Typical High $4,466.84 | Professional | None | $1,778.28 | $2,344.23 | $4,466.84 |
Wellpoint Setting Professional Modifier None Typical Low $1,819.70 Median $1,819.70 Typical High $2,454.71 | Professional | None | $1,819.70 | $1,819.70 | $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 $1,096.48 Median $1,202.26 Typical High $1,412.54 | Professional | 52 · Reduced service | $1,096.48 | $1,202.26 | $1,412.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $436.52 Median $478.63 Typical High $575.44 | Professional | 53 · Discontinued | $436.52 | $478.63 | $575.44 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,659.59 Median $1,819.70 Typical High $2,137.96 | Professional | 54 · Surgery only | $1,659.59 | $1,819.70 | $2,137.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $331.13 Median $363.08 Typical High $426.58 | Professional | 55 · Aftercare only | $331.13 | $363.08 | $426.58 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $218.78 Median $239.88 Typical High $281.84 | Professional | 56 · Pre-op care only | $218.78 | $239.88 | $281.84 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,548.82 Median $1,698.24 Typical High $1,995.26 | Professional | 78 · Unplanned return to OR | $1,548.82 | $1,698.24 | $1,995.26 |
Where Florida sits
The same service costs 8.7 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
$2,138
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.