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 $630.96 Median $4,786.30 Typical High $11,748.98 | Facility | None | $630.96 | $4,786.30 | $11,748.98 |
Aetna Setting Professional Modifier None Typical Low $602.56 Median $616.60 Typical High $812.83 | Professional | None | $602.56 | $616.60 | $812.83 |
AvMed Setting Facility Modifier None Typical Low $588.84 Median $2,137.96 Typical High $11,748.98 | Facility | None | $588.84 | $2,137.96 | $11,748.98 |
AvMed Setting Professional Modifier None Typical Low $562.34 Median $741.31 Typical High $851.14 | Professional | None | $562.34 | $741.31 | $851.14 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $1,737.80 Typical High $2,884.03 | Facility | None | $501.19 | $1,737.80 | $2,884.03 |
Cigna Setting Professional Modifier None Typical Low $537.03 Median $575.44 Typical High $1,148.15 | Professional | None | $537.03 | $575.44 | $1,148.15 |
Florida Blue Setting Facility Modifier None Typical Low $977.24 Median $2,089.30 Typical High $16,982.44 | Facility | None | $977.24 | $2,089.30 | $16,982.44 |
Florida Blue Setting Professional Modifier None Typical Low $309.03 Median $645.65 Typical High $758.58 | Professional | None | $309.03 | $645.65 | $758.58 |
Molina Setting Professional Modifier None Typical Low $60.26 Median $436.52 Typical High $831.76 | Professional | None | $60.26 | $436.52 | $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 $489.78 Median $645.65 Typical High $1,258.93 | Professional | None | $489.78 | $645.65 | $1,258.93 |
Wellpoint Setting Professional Modifier None Typical Low $537.03 Median $537.03 Typical High $707.95 | Professional | None | $537.03 | $537.03 | $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 $302.00 Median $309.03 Typical High $398.11 | Professional | 52 · Reduced service | $302.00 | $309.03 | $398.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $120.23 Median $123.03 Typical High $158.49 | Professional | 53 · Discontinued | $120.23 | $123.03 | $158.49 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $446.68 Median $457.09 Typical High $588.84 | Professional | 54 · Surgery only | $446.68 | $457.09 | $588.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $89.13 Median $91.20 Typical High $120.23 | Professional | 55 · Aftercare only | $89.13 | $91.20 | $120.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $60.26 Median $61.66 Typical High $79.43 | Professional | 56 · Pre-op care only | $60.26 | $61.66 | $79.43 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $416.87 Median $426.58 Typical High $549.54 | Professional | 78 · Unplanned return to OR | $416.87 | $426.58 | $549.54 |
Where Florida sits
The same service costs 19.1 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
$603
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.