How much rates vary
Facilitymedian $4,169 · 10th to 90th $1,445 to $13,183Professionalmedian $832 · 10th to 90th $132 to $1,349
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 $12,882.50 | Facility | None | $851.14 | $6,025.60 | $12,882.50 |
Aetna Setting Professional Modifier None Typical Low $912.01 Median $1,000.00 Typical High $1,230.27 | Professional | None | $912.01 | $1,000.00 | $1,230.27 |
AvMed Setting Facility Modifier None Typical Low $724.44 Median $2,454.71 Typical High $10,000.00 | Facility | None | $724.44 | $2,454.71 | $10,000.00 |
AvMed Setting Professional Modifier None Typical Low $851.14 Median $1,122.02 Typical High $1,288.25 | Professional | None | $851.14 | $1,122.02 | $1,288.25 |
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 $812.83 Median $851.14 Typical High $1,737.80 | Professional | None | $812.83 | $851.14 | $1,737.80 |
Florida Blue Setting Facility Modifier None Typical Low $2,630.27 Median $5,495.41 Typical High $16,982.44 | Facility | None | $2,630.27 | $5,495.41 | $16,982.44 |
Florida Blue Setting Professional Modifier None Typical Low $467.74 Median $1,000.00 Typical High $1,230.27 | Professional | None | $467.74 | $1,000.00 | $1,230.27 |
Molina Setting Professional Modifier None Typical Low $91.20 Median $676.08 Typical High $1,230.27 | Professional | None | $91.20 | $676.08 | $1,230.27 |
United Setting Facility Modifier None Typical Low $1,230.27 Median $3,311.31 Typical High $12,589.25 | Facility | None | $1,230.27 | $3,311.31 | $12,589.25 |
United Setting Professional Modifier None Typical Low $758.58 Median $977.24 Typical High $1,905.46 | Professional | None | $758.58 | $977.24 | $1,905.46 |
Wellpoint Setting Professional Modifier None Typical Low $794.33 Median $794.33 Typical High $1,071.52 | Professional | None | $794.33 | $794.33 | $1,071.52 |
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 $457.09 Median $501.19 Typical High $602.56 | Professional | 52 · Reduced service | $457.09 | $501.19 | $602.56 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $181.97 Median $199.53 Typical High $239.88 | Professional | 53 · Discontinued | $181.97 | $199.53 | $239.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $691.83 Median $741.31 Typical High $891.25 | Professional | 54 · Surgery only | $691.83 | $741.31 | $891.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $138.04 Median $147.91 Typical High $177.83 | Professional | 55 · Aftercare only | $138.04 | $147.91 | $177.83 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $91.20 Median $100.00 Typical High $120.23 | Professional | 56 · Pre-op care only | $91.20 | $100.00 | $120.23 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $645.65 Median $691.83 Typical High $831.76 | Professional | 78 · Unplanned return to OR | $645.65 | $691.83 | $831.76 |
Where Florida sits
The same service costs 4.2 times more in Colorado than in Hawaii. 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
CO $14,431HI $3,454
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.