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 $954.99 Median $6,025.60 Typical High $12,302.69 | Facility | None | $954.99 | $6,025.60 | $12,302.69 |
Aetna Setting Professional Modifier None Typical Low $891.25 Median $954.99 Typical High $1,148.15 | Professional | None | $891.25 | $954.99 | $1,148.15 |
AvMed Setting Facility Modifier None Typical Low $831.76 Median $4,168.69 Typical High $11,748.98 | Facility | None | $831.76 | $4,168.69 | $11,748.98 |
AvMed Setting Professional Modifier None Typical Low $831.76 Median $1,122.02 Typical High $1,288.25 | Professional | None | $831.76 | $1,122.02 | $1,288.25 |
Cigna Setting Facility Modifier None Typical Low $489.78 Median $4,365.16 Typical High $8,317.64 | Facility | None | $489.78 | $4,365.16 | $8,317.64 |
Cigna Setting Professional Modifier None Typical Low $758.58 Median $794.33 Typical High $1,659.59 | Professional | None | $758.58 | $794.33 | $1,659.59 |
Florida Blue Setting Facility Modifier None Typical Low $2,818.38 Median $5,495.41 Typical High $16,982.44 | Facility | None | $2,818.38 | $5,495.41 | $16,982.44 |
Florida Blue Setting Professional Modifier None Typical Low $457.09 Median $1,000.00 Typical High $1,318.26 | Professional | None | $457.09 | $1,000.00 | $1,318.26 |
Molina Setting Professional Modifier None Typical Low $91.20 Median $660.69 Typical High $1,174.90 | Professional | None | $91.20 | $660.69 | $1,174.90 |
United Setting Facility Modifier None Typical Low $1,584.89 Median $4,073.80 Typical High $15,488.17 | Facility | None | $1,584.89 | $4,073.80 | $15,488.17 |
United Setting Professional Modifier None Typical Low $724.44 Median $933.25 Typical High $1,778.28 | Professional | None | $724.44 | $933.25 | $1,778.28 |
Wellpoint Setting Professional Modifier None Typical Low $776.25 Median $776.25 Typical High $1,047.13 | Professional | None | $776.25 | $776.25 | $1,047.13 |
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 $446.68 Median $478.63 Typical High $562.34 | Professional | 52 · Reduced service | $446.68 | $478.63 | $562.34 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $177.83 Median $190.55 Typical High $223.87 | Professional | 53 · Discontinued | $177.83 | $190.55 | $223.87 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $676.08 Median $707.95 Typical High $851.14 | Professional | 54 · Surgery only | $676.08 | $707.95 | $851.14 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $134.90 Median $141.25 Typical High $169.82 | Professional | 55 · Aftercare only | $134.90 | $141.25 | $169.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $89.13 Median $95.50 Typical High $112.20 | Professional | 56 · Pre-op care only | $89.13 | $95.50 | $112.20 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $630.96 Median $660.69 Typical High $794.33 | Professional | 78 · Unplanned return to OR | $630.96 | $660.69 | $794.33 |
Where Florida sits
The same service costs 14.8 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
$891
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.