How much rates vary
Facilitymedian $3,467 · 10th to 90th $1,445 to $13,490Professionalmedian $589 · 10th to 90th $89 to $955
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 $6,025.60 Typical High $14,791.08 | Facility | None | $776.25 | $6,025.60 | $14,791.08 |
Aetna Setting Professional Modifier None Typical Low $630.96 Median $691.83 Typical High $954.99 | Professional | None | $630.96 | $691.83 | $954.99 |
Ambetter Setting Professional Modifier None Typical Low $1,258.93 Median $1,258.93 Typical High $1,258.93 | Professional | None | $1,258.93 | $1,258.93 | $1,258.93 |
AvMed Setting Facility Modifier None Typical Low $602.56 Median $2,818.38 Typical High $11,748.98 | Facility | None | $602.56 | $2,818.38 | $11,748.98 |
AvMed Setting Professional Modifier None Typical Low $575.44 Median $758.58 Typical High $891.25 | Professional | None | $575.44 | $758.58 | $891.25 |
Cigna Setting Facility Modifier None Typical Low $954.99 Median $3,467.37 Typical High $5,370.32 | Facility | None | $954.99 | $3,467.37 | $5,370.32 |
Cigna Setting Professional Modifier None Typical Low $575.44 Median $602.56 Typical High $1,230.27 | Professional | None | $575.44 | $602.56 | $1,230.27 |
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 $323.59 Median $676.08 Typical High $812.83 | Professional | None | $323.59 | $676.08 | $812.83 |
Molina Setting Professional Modifier None Typical Low $60.26 Median $457.09 Typical High $831.76 | Professional | None | $60.26 | $457.09 | $831.76 |
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 $512.86 Median $676.08 Typical High $1,318.26 | Professional | None | $512.86 | $676.08 | $1,318.26 |
Wellpoint Setting Professional Modifier None Typical Low $549.54 Median $549.54 Typical High $724.44 | Professional | None | $549.54 | $549.54 | $724.44 |
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 $316.23 Median $346.74 Typical High $416.87 | Professional | 52 · Reduced service | $316.23 | $346.74 | $416.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $128.82 Median $138.04 Typical High $169.82 | Professional | 53 · Discontinued | $128.82 | $138.04 | $169.82 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $478.63 Median $524.81 Typical High $630.96 | Professional | 54 · Surgery only | $478.63 | $524.81 | $630.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $95.50 Median $104.71 Typical High $125.89 | Professional | 55 · Aftercare only | $95.50 | $104.71 | $125.89 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $63.10 Median $69.18 Typical High $83.18 | Professional | 56 · Pre-op care only | $63.10 | $69.18 | $83.18 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $446.68 Median $489.78 Typical High $588.84 | Professional | 78 · Unplanned return to OR | $446.68 | $489.78 | $588.84 |
Where Florida sits
The same service costs 4.9 times more in Alaska than in Kentucky. 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.
Physician feeFacility fee
AK $10,315KY $2,095
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.