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 $338.84 Median $2,951.21 Typical High $10,964.78 | Facility | None | $338.84 | $2,951.21 | $10,964.78 |
Aetna Setting Professional Modifier None Typical Low $128.82 Median $194.98 Typical High $257.04 | Professional | None | $128.82 | $194.98 | $257.04 |
AvMed Setting Facility Modifier None Typical Low $181.97 Median $2,137.96 Typical High $11,748.98 | Facility | None | $181.97 | $2,137.96 | $11,748.98 |
AvMed Setting Professional Modifier None Typical Low $144.54 Median $213.80 Typical High $281.84 | Professional | None | $144.54 | $213.80 | $281.84 |
Cigna Setting Facility Modifier None Typical Low $181.97 Median $309.03 Typical High $1,659.59 | Facility | None | $181.97 | $309.03 | $1,659.59 |
Cigna Setting Professional Modifier None Typical Low $109.65 Median $177.83 Typical High $309.03 | Professional | None | $109.65 | $177.83 | $309.03 |
Florida Blue Setting Facility Modifier None Typical Low $199.53 Median $436.52 Typical High $6,309.57 | Facility | None | $199.53 | $436.52 | $6,309.57 |
Florida Blue Setting Professional Modifier None Typical Low $100.00 Median $181.97 Typical High $281.84 | Professional | None | $100.00 | $181.97 | $281.84 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $190.55 Typical High $338.84 | Professional | None | $30.20 | $190.55 | $338.84 |
United Setting Facility Modifier None Typical Low $281.84 Median $660.69 Typical High $4,073.80 | Facility | None | $281.84 | $660.69 | $4,073.80 |
United Setting Professional Modifier None Typical Low $107.15 Median $181.97 Typical High $346.74 | Professional | None | $107.15 | $181.97 | $346.74 |
Wellpoint Setting Professional Modifier None Typical Low $109.65 Median $204.17 Typical High $204.17 | Professional | None | $109.65 | $204.17 | $204.17 |
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 $64.57 Median $97.72 Typical High $123.03 | Professional | 52 · Reduced service | $64.57 | $97.72 | $123.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.70 Median $39.81 Typical High $50.12 | Professional | 53 · Discontinued | $25.70 | $39.81 | $50.12 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $97.72 Median $147.91 Typical High $186.21 | Professional | 54 · Surgery only | $97.72 | $147.91 | $186.21 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $19.50 Median $29.51 Typical High $37.15 | Professional | 55 · Aftercare only | $19.50 | $29.51 | $37.15 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.88 Median $19.50 Typical High $24.55 | Professional | 56 · Pre-op care only | $12.88 | $19.50 | $24.55 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $91.20 Median $138.04 Typical High $173.78 | Professional | 78 · Unplanned return to OR | $91.20 | $138.04 | $173.78 |
Where Florida sits
The same service costs 4.4 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.
Florida· 47th of 51
$195
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.