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 $12,022.64 | Facility | None | $1,445.44 | $6,025.60 | $12,022.64 |
Aetna Setting Professional Modifier None Typical Low $2,187.76 Median $2,398.83 Typical High $3,235.94 | Professional | None | $2,187.76 | $2,398.83 | $3,235.94 |
AvMed Setting Facility Modifier None Typical Low $1,479.11 Median $3,630.78 Typical High $11,748.98 | Facility | None | $1,479.11 | $3,630.78 | $11,748.98 |
AvMed Setting Professional Modifier None Typical Low $1,995.26 Median $2,691.53 Typical High $3,019.95 | Professional | None | $1,995.26 | $2,691.53 | $3,019.95 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $3,630.78 Typical High $6,918.31 | Facility | None | $512.86 | $3,630.78 | $6,918.31 |
Cigna Setting Professional Modifier None Typical Low $2,041.74 Median $2,137.96 Typical High $4,365.16 | Professional | None | $2,041.74 | $2,137.96 | $4,365.16 |
Florida Blue Setting Facility Modifier None Typical Low $1,071.52 Median $2,238.72 Typical High $16,982.44 | Facility | None | $1,071.52 | $2,238.72 | $16,982.44 |
Florida Blue Setting Professional Modifier None Typical Low $1,096.48 Median $2,344.23 Typical High $3,090.30 | Professional | None | $1,096.48 | $2,344.23 | $3,090.30 |
Molina Setting Professional Modifier None Typical Low $257.04 Median $1,548.82 Typical High $2,818.38 | Professional | None | $257.04 | $1,548.82 | $2,818.38 |
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 $1,862.09 Median $2,398.83 Typical High $4,786.30 | Professional | None | $1,862.09 | $2,398.83 | $4,786.30 |
Wellpoint Setting Professional Modifier None Typical Low $1,862.09 Median $1,862.09 Typical High $2,454.71 | Professional | None | $1,862.09 | $1,862.09 | $2,454.71 |
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 $1,096.48 Median $1,202.26 Typical High $1,584.89 | Professional | 52 · Reduced service | $1,096.48 | $1,202.26 | $1,584.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $436.52 Median $478.63 Typical High $630.96 | Professional | 53 · Discontinued | $436.52 | $478.63 | $630.96 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,659.59 Median $1,819.70 Typical High $2,398.83 | Professional | 54 · Surgery only | $1,659.59 | $1,819.70 | $2,398.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $331.13 Median $363.08 Typical High $478.63 | Professional | 55 · Aftercare only | $331.13 | $363.08 | $478.63 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $218.78 Median $239.88 Typical High $316.23 | Professional | 56 · Pre-op care only | $218.78 | $239.88 | $316.23 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,548.82 Median $1,698.24 Typical High $2,238.72 | Professional | 78 · Unplanned return to OR | $1,548.82 | $1,698.24 | $2,238.72 |
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· 48th of 51
$2,089
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.