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 $1,548.82 Median $1,698.24 Typical High $2,454.71 | Professional | None | $1,548.82 | $1,698.24 | $2,454.71 |
AvMed Setting Facility Modifier None Typical Low $1,479.11 Median $2,818.38 Typical High $11,748.98 | Facility | None | $1,479.11 | $2,818.38 | $11,748.98 |
AvMed Setting Professional Modifier None Typical Low $1,659.59 Median $1,995.26 Typical High $2,454.71 | Professional | None | $1,659.59 | $1,995.26 | $2,454.71 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $2,951.21 Typical High $5,370.32 | Facility | None | $501.19 | $2,951.21 | $5,370.32 |
Cigna Setting Professional Modifier None Typical Low $1,584.89 Median $1,698.24 Typical High $3,311.31 | Professional | None | $1,584.89 | $1,698.24 | $3,311.31 |
Florida Blue Setting Facility Modifier None Typical Low $1,737.80 Median $3,548.13 Typical High $16,982.44 | Facility | None | $1,737.80 | $3,548.13 | $16,982.44 |
Florida Blue Setting Professional Modifier None Typical Low $776.25 Median $1,698.24 Typical High $2,238.72 | Professional | None | $776.25 | $1,698.24 | $2,238.72 |
Molina Setting Professional Modifier None Typical Low $204.17 Median $1,318.26 Typical High $2,454.71 | Professional | None | $204.17 | $1,318.26 | $2,454.71 |
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 $1,380.38 Median $1,819.70 Typical High $3,715.35 | Professional | None | $1,380.38 | $1,819.70 | $3,715.35 |
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 $776.25 Median $851.14 Typical High $1,202.26 | Professional | 52 · Reduced service | $776.25 | $851.14 | $1,202.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $309.03 Median $346.74 Typical High $489.78 | Professional | 53 · Discontinued | $309.03 | $346.74 | $489.78 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,148.15 Median $1,288.25 Typical High $1,819.70 | Professional | 54 · Surgery only | $1,148.15 | $1,288.25 | $1,819.70 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $234.42 Median $257.04 Typical High $363.08 | Professional | 55 · Aftercare only | $234.42 | $257.04 | $363.08 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $154.88 Median $169.82 Typical High $245.47 | Professional | 56 · Pre-op care only | $154.88 | $169.82 | $245.47 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,071.52 Median $1,202.26 Typical High $1,698.24 | Professional | 78 · Unplanned return to OR | $1,071.52 | $1,202.26 | $1,698.24 |
Where Florida sits
The same service costs 21.4 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· 48th of 51
$1,698
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.