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 $707.95 Median $4,786.30 Typical High $11,748.98 | Facility | None | $707.95 | $4,786.30 | $11,748.98 |
Aetna Setting Professional Modifier None Typical Low $707.95 Median $741.31 Typical High $954.99 | Professional | None | $707.95 | $741.31 | $954.99 |
AvMed Setting Facility Modifier None Typical Low $645.65 Median $2,137.96 Typical High $9,772.37 | Facility | None | $645.65 | $2,137.96 | $9,772.37 |
AvMed Setting Professional Modifier None Typical Low $645.65 Median $851.14 Typical High $977.24 | Professional | None | $645.65 | $851.14 | $977.24 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $2,818.38 Typical High $5,370.32 | Facility | None | $501.19 | $2,818.38 | $5,370.32 |
Cigna Setting Professional Modifier None Typical Low $602.56 Median $630.96 Typical High $1,318.26 | Professional | None | $602.56 | $630.96 | $1,318.26 |
Florida Blue Setting Facility Modifier None Typical Low $1,737.80 Median $3,548.13 Typical High $16,982.44 | Facility | None | $1,737.80 | $3,548.13 | $16,982.44 |
Florida Blue Setting Professional Modifier None Typical Low $363.08 Median $758.58 Typical High $933.25 | Professional | None | $363.08 | $758.58 | $933.25 |
Molina Setting Professional Modifier None Typical Low $60.26 Median $489.78 Typical High $954.99 | Professional | None | $60.26 | $489.78 | $954.99 |
United Setting Facility Modifier None Typical Low $1,230.27 Median $3,311.31 Typical High $12,589.25 | Facility | None | $1,230.27 | $3,311.31 | $12,589.25 |
United Setting Professional Modifier None Typical Low $562.34 Median $741.31 Typical High $1,445.44 | Professional | None | $562.34 | $741.31 | $1,445.44 |
Wellpoint Setting Professional Modifier None Typical Low $616.60 Median $616.60 Typical High $812.83 | Professional | None | $616.60 | $616.60 | $812.83 |
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 $354.81 Median $363.08 Typical High $478.63 | Professional | 52 · Reduced service | $354.81 | $363.08 | $478.63 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $141.25 Median $147.91 Typical High $190.55 | Professional | 53 · Discontinued | $141.25 | $147.91 | $190.55 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $537.03 Median $549.54 Typical High $707.95 | Professional | 54 · Surgery only | $537.03 | $549.54 | $707.95 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $107.15 Median $109.65 Typical High $141.25 | Professional | 55 · Aftercare only | $107.15 | $109.65 | $141.25 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $70.79 Median $74.13 Typical High $95.50 | Professional | 56 · Pre-op care only | $70.79 | $74.13 | $95.50 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $501.19 Median $512.86 Typical High $660.69 | Professional | 78 · Unplanned return to OR | $501.19 | $512.86 | $660.69 |
Where Florida sits
The same service costs 20.9 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
$708
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.