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 $1,905.46 Median $1,905.46 Typical High $2,511.89 | Professional | None | $1,905.46 | $1,905.46 | $2,511.89 |
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 $1,659.59 Median $2,187.76 Typical High $2,630.27 | Professional | None | $1,659.59 | $2,187.76 | $2,630.27 |
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 $1,659.59 Median $1,737.80 Typical High $3,548.13 | Professional | None | $1,659.59 | $1,737.80 | $3,548.13 |
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 $977.24 Median $2,041.74 Typical High $2,454.71 | Professional | None | $977.24 | $2,041.74 | $2,454.71 |
Molina Setting Professional Modifier None Typical Low $204.17 Median $1,288.25 Typical High $2,398.83 | Professional | None | $204.17 | $1,288.25 | $2,398.83 |
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 $1,548.82 Median $2,041.74 Typical High $3,890.45 | Professional | None | $1,548.82 | $2,041.74 | $3,890.45 |
Wellpoint Setting Professional Modifier None Typical Low $1,584.89 Median $1,584.89 Typical High $2,089.30 | Professional | None | $1,584.89 | $1,584.89 | $2,089.30 |
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 $954.99 Median $954.99 Typical High $1,230.27 | Professional | 52 · Reduced service | $954.99 | $954.99 | $1,230.27 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $380.19 Median $380.19 Typical High $489.78 | Professional | 53 · Discontinued | $380.19 | $380.19 | $489.78 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,445.44 Median $1,445.44 Typical High $1,862.09 | Professional | 54 · Surgery only | $1,445.44 | $1,445.44 | $1,862.09 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $288.40 Median $288.40 Typical High $371.54 | Professional | 55 · Aftercare only | $288.40 | $288.40 | $371.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $190.55 Median $190.55 Typical High $245.47 | Professional | 56 · Pre-op care only | $190.55 | $190.55 | $245.47 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,348.96 Median $1,348.96 Typical High $1,737.80 | Professional | 78 · Unplanned return to OR | $1,348.96 | $1,348.96 | $1,737.80 |
Where Florida sits
The same service costs 21.9 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
$1,738
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.