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 $794.33 Median $6,025.60 Typical High $13,182.57 | Facility | None | $794.33 | $6,025.60 | $13,182.57 |
Aetna Setting Professional Modifier None Typical Low $776.25 Median $851.14 Typical High $1,023.29 | Professional | None | $776.25 | $851.14 | $1,023.29 |
AvMed Setting Facility Modifier None Typical Low $724.44 Median $2,398.83 Typical High $10,000.00 | Facility | None | $724.44 | $2,398.83 | $10,000.00 |
AvMed Setting Professional Modifier None Typical Low $724.44 Median $954.99 Typical High $1,096.48 | Professional | None | $724.44 | $954.99 | $1,096.48 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $4,365.16 Typical High $8,317.64 | Facility | None | $707.95 | $4,365.16 | $8,317.64 |
Cigna Setting Professional Modifier None Typical Low $691.83 Median $724.44 Typical High $1,479.11 | Professional | None | $691.83 | $724.44 | $1,479.11 |
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 $398.11 Median $851.14 Typical High $1,096.48 | Professional | None | $398.11 | $851.14 | $1,096.48 |
Molina Setting Professional Modifier None Typical Low $60.26 Median $575.44 Typical High $1,047.13 | Professional | None | $60.26 | $575.44 | $1,047.13 |
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 $645.65 Median $831.76 Typical High $1,584.89 | Professional | None | $645.65 | $831.76 | $1,584.89 |
Wellpoint Setting Professional Modifier None Typical Low $676.08 Median $676.08 Typical High $912.01 | Professional | None | $676.08 | $676.08 | $912.01 |
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 $389.05 Median $426.58 Typical High $501.19 | Professional | 52 · Reduced service | $389.05 | $426.58 | $501.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $154.88 Median $169.82 Typical High $204.17 | Professional | 53 · Discontinued | $154.88 | $169.82 | $204.17 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $575.44 Median $645.65 Typical High $758.58 | Professional | 54 · Surgery only | $575.44 | $645.65 | $758.58 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $117.49 Median $128.82 Typical High $151.36 | Professional | 55 · Aftercare only | $117.49 | $128.82 | $151.36 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $77.62 Median $85.11 Typical High $102.33 | Professional | 56 · Pre-op care only | $77.62 | $85.11 | $102.33 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $537.03 Median $602.56 Typical High $707.95 | Professional | 78 · Unplanned return to OR | $537.03 | $602.56 | $707.95 |
Where Florida sits
The same service costs 7.9 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
$776
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.