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 $1,380.38 Median $6,025.60 Typical High $12,022.64 | Facility | None | $1,380.38 | $6,025.60 | $12,022.64 |
Aetna Setting Professional Modifier None Typical Low $1,288.25 Median $1,548.82 Typical High $1,819.70 | Professional | None | $1,288.25 | $1,548.82 | $1,819.70 |
AvMed Setting Facility Modifier None Typical Low $1,174.90 Median $3,630.78 Typical High $11,748.98 | Facility | None | $1,174.90 | $3,630.78 | $11,748.98 |
AvMed Setting Professional Modifier None Typical Low $1,174.90 Median $1,621.81 Typical High $1,819.70 | Professional | None | $1,174.90 | $1,621.81 | $1,819.70 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $3,630.78 Typical High $6,760.83 | Facility | None | $501.19 | $3,630.78 | $6,760.83 |
Cigna Setting Professional Modifier None Typical Low $1,174.90 Median $1,230.27 Typical High $2,511.89 | Professional | None | $1,174.90 | $1,230.27 | $2,511.89 |
Florida Blue Setting Facility Modifier None Typical Low $1,778.28 Median $3,548.13 Typical High $16,982.44 | Facility | None | $1,778.28 | $3,548.13 | $16,982.44 |
Florida Blue Setting Professional Modifier None Typical Low $630.96 Median $1,380.38 Typical High $1,698.24 | Professional | None | $630.96 | $1,380.38 | $1,698.24 |
Molina Setting Professional Modifier None Typical Low $120.23 Median $912.01 Typical High $1,659.59 | Professional | None | $120.23 | $912.01 | $1,659.59 |
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 $1,096.48 Median $1,412.54 Typical High $2,754.23 | Professional | None | $1,096.48 | $1,412.54 | $2,754.23 |
Wellpoint Setting Professional Modifier None Typical Low $1,096.48 Median $1,096.48 Typical High $1,445.44 | Professional | None | $1,096.48 | $1,096.48 | $1,445.44 |
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 $630.96 Median $776.25 Typical High $870.96 | Professional | 52 · Reduced service | $630.96 | $776.25 | $870.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $257.04 Median $309.03 Typical High $346.74 | Professional | 53 · Discontinued | $257.04 | $309.03 | $346.74 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $954.99 Median $1,148.15 Typical High $1,318.26 | Professional | 54 · Surgery only | $954.99 | $1,148.15 | $1,318.26 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $190.55 Median $234.42 Typical High $263.03 | Professional | 55 · Aftercare only | $190.55 | $234.42 | $263.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $128.82 Median $154.88 Typical High $173.78 | Professional | 56 · Pre-op care only | $128.82 | $154.88 | $173.78 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $891.25 Median $1,071.52 Typical High $1,230.27 | Professional | 78 · Unplanned return to OR | $891.25 | $1,071.52 | $1,230.27 |
Where Florida sits
The same service costs 20.4 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
$1,288
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.