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 $660.69 Median $5,754.40 Typical High $12,022.64 | Facility | None | $660.69 | $5,754.40 | $12,022.64 |
Aetna Setting Professional Modifier None Typical Low $478.63 Median $575.44 Typical High $776.25 | Professional | None | $478.63 | $575.44 | $776.25 |
AvMed Setting Facility Modifier None Typical Low $616.60 Median $2,137.96 Typical High $9,772.37 | Facility | None | $616.60 | $2,137.96 | $9,772.37 |
AvMed Setting Professional Modifier None Typical Low $562.34 Median $645.65 Typical High $812.83 | Professional | None | $562.34 | $645.65 | $812.83 |
Cigna Setting Facility Modifier None Typical Low $616.60 Median $3,235.94 Typical High $5,370.32 | Facility | None | $616.60 | $3,235.94 | $5,370.32 |
Cigna Setting Professional Modifier None Typical Low $446.68 Median $575.44 Typical High $1,023.29 | Professional | None | $446.68 | $575.44 | $1,023.29 |
Florida Blue Setting Facility Modifier None Typical Low $1,071.52 Median $2,089.30 Typical High $16,982.44 | Facility | None | $1,071.52 | $2,089.30 | $16,982.44 |
Florida Blue Setting Professional Modifier None Typical Low $288.40 Median $524.81 Typical High $794.33 | Professional | None | $288.40 | $524.81 | $794.33 |
Molina Setting Professional Modifier None Typical Low $91.20 Median $478.63 Typical High $891.25 | Professional | None | $91.20 | $478.63 | $891.25 |
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 $416.87 Median $575.44 Typical High $1,148.15 | Professional | None | $416.87 | $575.44 | $1,148.15 |
Wellpoint Setting Professional Modifier None Typical Low $436.52 Median $588.84 Typical High $588.84 | Professional | None | $436.52 | $588.84 | $588.84 |
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 $239.88 Median $288.40 Typical High $389.05 | Professional | 52 · Reduced service | $239.88 | $288.40 | $389.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $95.50 Median $114.82 Typical High $154.88 | Professional | 53 · Discontinued | $95.50 | $114.82 | $154.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $354.81 Median $426.58 Typical High $575.44 | Professional | 54 · Surgery only | $354.81 | $426.58 | $575.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $70.79 Median $85.11 Typical High $114.82 | Professional | 55 · Aftercare only | $70.79 | $85.11 | $114.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $47.86 Median $57.54 Typical High $77.62 | Professional | 56 · Pre-op care only | $47.86 | $57.54 | $77.62 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $331.13 Median $398.11 Typical High $537.03 | Professional | 78 · Unplanned return to OR | $331.13 | $398.11 | $537.03 |
Where Florida sits
The same service costs 6.6 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· 49th of 51
$589
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.