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 $5,495.41 Typical High $12,022.64 | Facility | None | $776.25 | $5,495.41 | $12,022.64 |
Aetna Setting Professional Modifier None Typical Low $954.99 Median $1,047.13 Typical High $1,348.96 | Professional | None | $954.99 | $1,047.13 | $1,348.96 |
AvMed Setting Facility Modifier None Typical Low $912.01 Median $3,630.78 Typical High $11,748.98 | Facility | None | $912.01 | $3,630.78 | $11,748.98 |
AvMed Setting Professional Modifier None Typical Low $912.01 Median $1,174.90 Typical High $1,380.38 | Professional | None | $912.01 | $1,174.90 | $1,380.38 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $3,630.78 Typical High $6,918.31 | Facility | None | $501.19 | $3,630.78 | $6,918.31 |
Cigna Setting Professional Modifier None Typical Low $891.25 Median $933.25 Typical High $1,862.09 | Professional | None | $891.25 | $933.25 | $1,862.09 |
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 $478.63 Median $1,047.13 Typical High $1,288.25 | Professional | None | $478.63 | $1,047.13 | $1,288.25 |
Molina Setting Professional Modifier None Typical Low $91.20 Median $741.31 Typical High $1,318.26 | Professional | None | $91.20 | $741.31 | $1,318.26 |
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 $794.33 Median $1,047.13 Typical High $2,089.30 | Professional | None | $794.33 | $1,047.13 | $2,089.30 |
Wellpoint Setting Professional Modifier None Typical Low $870.96 Median $870.96 Typical High $1,148.15 | Professional | None | $870.96 | $870.96 | $1,148.15 |
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 $478.63 Median $524.81 Typical High $660.69 | Professional | 52 · Reduced service | $478.63 | $524.81 | $660.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $190.55 Median $208.93 Typical High $263.03 | Professional | 53 · Discontinued | $190.55 | $208.93 | $263.03 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $707.95 Median $776.25 Typical High $977.24 | Professional | 54 · Surgery only | $707.95 | $776.25 | $977.24 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $141.25 Median $154.88 Typical High $199.53 | Professional | 55 · Aftercare only | $141.25 | $154.88 | $199.53 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $95.50 Median $104.71 Typical High $131.83 | Professional | 56 · Pre-op care only | $95.50 | $104.71 | $131.83 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $660.69 Median $724.44 Typical High $912.01 | Professional | 78 · Unplanned return to OR | $660.69 | $724.44 | $912.01 |
Where Florida sits
The same service costs 16.2 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
$977
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.