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 $1,949.84 Median $2,137.96 Typical High $3,090.30 | Professional | None | $1,949.84 | $2,137.96 | $3,090.30 |
AvMed Setting Facility Modifier None Typical Low $1,445.44 Median $3,467.37 Typical High $11,748.98 | Facility | None | $1,445.44 | $3,467.37 | $11,748.98 |
AvMed Setting Professional Modifier None Typical Low $2,137.96 Median $2,630.27 Typical High $3,162.28 | Professional | None | $2,137.96 | $2,630.27 | $3,162.28 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $3,467.37 Typical High $6,606.93 | Facility | None | $602.56 | $3,467.37 | $6,606.93 |
Cigna Setting Professional Modifier None Typical Low $2,041.74 Median $2,187.76 Typical High $4,073.80 | Professional | None | $2,041.74 | $2,187.76 | $4,073.80 |
Florida Blue Setting Facility Modifier None Typical Low $2,630.27 Median $5,495.41 Typical High $16,982.44 | Facility | None | $2,630.27 | $5,495.41 | $16,982.44 |
Florida Blue Setting Professional Modifier None Typical Low $977.24 Median $2,238.72 Typical High $2,951.21 | Professional | None | $977.24 | $2,238.72 | $2,951.21 |
Molina Setting Professional Modifier None Typical Low $229.09 Median $1,659.59 Typical High $3,019.95 | Professional | None | $229.09 | $1,659.59 | $3,019.95 |
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 $4,677.35 | Professional | None | $1,778.28 | $2,344.23 | $4,677.35 |
Wellpoint Setting Professional Modifier None Typical Low $1,698.24 Median $1,698.24 Typical High $2,630.27 | Professional | None | $1,698.24 | $1,698.24 | $2,630.27 |
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 $977.24 Median $1,071.52 Typical High $1,548.82 | Professional | 52 · Reduced service | $977.24 | $1,071.52 | $1,548.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $389.05 Median $426.58 Typical High $616.60 | Professional | 53 · Discontinued | $389.05 | $426.58 | $616.60 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,479.11 Median $1,584.89 Typical High $2,290.87 | Professional | 54 · Surgery only | $1,479.11 | $1,584.89 | $2,290.87 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $295.12 Median $316.23 Typical High $457.09 | Professional | 55 · Aftercare only | $295.12 | $316.23 | $457.09 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $194.98 Median $213.80 Typical High $309.03 | Professional | 56 · Pre-op care only | $194.98 | $213.80 | $309.03 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,380.38 Median $1,479.11 Typical High $2,137.96 | Professional | 78 · Unplanned return to OR | $1,380.38 | $1,479.11 | $2,137.96 |
Where Florida sits
The same service costs 19.5 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
$2,188
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.