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 $758.58 Median $6,025.60 Typical High $12,882.50 | Facility | None | $758.58 | $6,025.60 | $12,882.50 |
Aetna Setting Professional Modifier None Typical Low $645.65 Median $707.95 Typical High $870.96 | Professional | None | $645.65 | $707.95 | $870.96 |
AvMed Setting Facility Modifier None Typical Low $707.95 Median $2,398.83 Typical High $9,772.37 | Facility | None | $707.95 | $2,398.83 | $9,772.37 |
AvMed Setting Professional Modifier None Typical Low $616.60 Median $812.83 Typical High $912.01 | Professional | None | $616.60 | $812.83 | $912.01 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $3,801.89 Typical High $6,606.93 | Facility | None | $707.95 | $3,801.89 | $6,606.93 |
Cigna Setting Professional Modifier None Typical Low $575.44 Median $616.60 Typical High $1,230.27 | Professional | None | $575.44 | $616.60 | $1,230.27 |
Florida Blue Setting Facility Modifier None Typical Low $1,318.26 Median $2,630.27 Typical High $16,982.44 | Facility | None | $1,318.26 | $2,630.27 | $16,982.44 |
Florida Blue Setting Professional Modifier None Typical Low $323.59 Median $707.95 Typical High $870.96 | Professional | None | $323.59 | $707.95 | $870.96 |
Molina Setting Professional Modifier None Typical Low $60.26 Median $512.86 Typical High $933.25 | Professional | None | $60.26 | $512.86 | $933.25 |
United Setting Facility Modifier None Typical Low $954.99 Median $2,344.23 Typical High $10,000.00 | Facility | None | $954.99 | $2,344.23 | $10,000.00 |
United Setting Professional Modifier None Typical Low $537.03 Median $691.83 Typical High $1,348.96 | Professional | None | $537.03 | $691.83 | $1,348.96 |
Wellpoint Setting Professional Modifier None Typical Low $588.84 Median $588.84 Typical High $776.25 | Professional | None | $588.84 | $588.84 | $776.25 |
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 $354.81 Typical High $416.87 | Professional | 52 · Reduced service | $316.23 | $354.81 | $416.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $128.82 Median $141.25 Typical High $169.82 | Professional | 53 · Discontinued | $128.82 | $141.25 | $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 $64.57 Median $70.79 Typical High $85.11 | Professional | 56 · Pre-op care only | $64.57 | $70.79 | $85.11 |
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 7.4 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
$676
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.