How much rates vary
Facilitymedian $3,311 · 10th to 90th $1,230 to $14,454Professionalmedian $1,096 · 10th to 90th $135 to $1,820
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 $851.14 Median $6,025.60 Typical High $13,182.57 | Facility | None | $851.14 | $6,025.60 | $13,182.57 |
Aetna Setting Professional Modifier None Typical Low $1,071.52 Median $1,348.96 Typical High $1,621.81 | Professional | None | $1,071.52 | $1,348.96 | $1,621.81 |
AvMed Setting Facility Modifier None Typical Low $1,148.15 Median $3,467.37 Typical High $11,748.98 | Facility | None | $1,148.15 | $3,467.37 | $11,748.98 |
AvMed Setting Professional Modifier None Typical Low $912.01 Median $1,412.54 Typical High $1,698.24 | Professional | None | $912.01 | $1,412.54 | $1,698.24 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $3,548.13 Typical High $6,606.93 | Facility | None | $512.86 | $3,548.13 | $6,606.93 |
Cigna Setting Professional Modifier None Typical Low $1,071.52 Median $1,148.15 Typical High $2,238.72 | Professional | None | $1,071.52 | $1,148.15 | $2,238.72 |
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 $575.44 Median $1,023.29 Typical High $1,548.82 | Professional | None | $575.44 | $1,023.29 | $1,548.82 |
Molina Setting Professional Modifier None Typical Low $91.20 Median $891.25 Typical High $1,659.59 | Professional | None | $91.20 | $891.25 | $1,659.59 |
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 $1,202.26 Typical High $2,511.89 | Professional | None | $724.44 | $1,202.26 | $2,511.89 |
Wellpoint Setting Professional Modifier None Typical Low $1,047.13 Median $1,047.13 Typical High $1,412.54 | Professional | None | $1,047.13 | $1,047.13 | $1,412.54 |
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 $524.81 Median $676.08 Typical High $812.83 | Professional | 52 · Reduced service | $524.81 | $676.08 | $812.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $213.80 Median $269.15 Typical High $323.59 | Professional | 53 · Discontinued | $213.80 | $269.15 | $323.59 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $794.33 Median $1,023.29 Typical High $1,230.27 | Professional | 54 · Surgery only | $794.33 | $1,023.29 | $1,230.27 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $158.49 Median $204.17 Typical High $245.47 | Professional | 55 · Aftercare only | $158.49 | $204.17 | $245.47 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $107.15 Median $134.90 Typical High $162.18 | Professional | 56 · Pre-op care only | $107.15 | $134.90 | $162.18 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $741.31 Median $954.99 Typical High $1,148.15 | Professional | 78 · Unplanned return to OR | $741.31 | $954.99 | $1,148.15 |
Where Florida sits
The same service costs 5.5 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 $15,938KY $2,890
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.