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 $776.25 Median $6,025.60 Typical High $14,791.08 | Facility | None | $776.25 | $6,025.60 | $14,791.08 |
Aetna Setting Professional Modifier None Typical Low $524.81 Median $575.44 Typical High $831.76 | Professional | None | $524.81 | $575.44 | $831.76 |
AvMed Setting Facility Modifier None Typical Low $707.95 Median $2,951.21 Typical High $9,772.37 | Facility | None | $707.95 | $2,951.21 | $9,772.37 |
AvMed Setting Professional Modifier None Typical Low $562.34 Median $707.95 Typical High $812.83 | Professional | None | $562.34 | $707.95 | $812.83 |
Cigna Setting Facility Modifier None Typical Low $954.99 Median $3,467.37 Typical High $5,370.32 | Facility | None | $954.99 | $3,467.37 | $5,370.32 |
Cigna Setting Professional Modifier None Typical Low $537.03 Median $562.34 Typical High $1,122.02 | Professional | None | $537.03 | $562.34 | $1,122.02 |
Florida Blue Setting Facility Modifier None Typical Low $1,071.52 Median $2,089.30 Typical High $16,982.44 | Facility | None | $1,071.52 | $2,089.30 | $16,982.44 |
Florida Blue Setting Professional Modifier None Typical Low $263.03 Median $588.84 Typical High $758.58 | Professional | None | $263.03 | $588.84 | $758.58 |
Molina Setting Professional Modifier None Typical Low $60.26 Median $457.09 Typical High $831.76 | Professional | None | $60.26 | $457.09 | $831.76 |
United Setting Facility Modifier None Typical Low $794.33 Median $1,778.28 Typical High $7,585.78 | Facility | None | $794.33 | $1,778.28 | $7,585.78 |
United Setting Professional Modifier None Typical Low $478.63 Median $630.96 Typical High $1,230.27 | Professional | None | $478.63 | $630.96 | $1,230.27 |
Wellpoint Setting Professional Modifier None Typical Low $707.95 Median $707.95 Typical High $707.95 | Professional | None | $707.95 | $707.95 | $707.95 |
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 $263.03 Median $288.40 Typical High $416.87 | Professional | 52 · Reduced service | $263.03 | $288.40 | $416.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $104.71 Median $114.82 Typical High $165.96 | Professional | 53 · Discontinued | $104.71 | $114.82 | $165.96 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $398.11 Median $436.52 Typical High $616.60 | Professional | 54 · Surgery only | $398.11 | $436.52 | $616.60 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $79.43 Median $87.10 Typical High $123.03 | Professional | 55 · Aftercare only | $79.43 | $87.10 | $123.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $52.48 Median $57.54 Typical High $83.18 | Professional | 56 · Pre-op care only | $52.48 | $57.54 | $83.18 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $371.54 Median $407.38 Typical High $575.44 | Professional | 78 · Unplanned return to OR | $371.54 | $407.38 | $575.44 |
Where Florida sits
The same service costs 17.4 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
$617
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.