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 $707.95 Median $4,786.30 Typical High $12,022.64 | Facility | None | $707.95 | $4,786.30 | $12,022.64 |
Aetna Setting Professional Modifier None Typical Low $691.83 Median $758.58 Typical High $933.25 | Professional | None | $691.83 | $758.58 | $933.25 |
AvMed Setting Facility Modifier None Typical Low $660.69 Median $2,137.96 Typical High $9,772.37 | Facility | None | $660.69 | $2,137.96 | $9,772.37 |
AvMed Setting Professional Modifier None Typical Low $660.69 Median $870.96 Typical High $977.24 | Professional | None | $660.69 | $870.96 | $977.24 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $3,467.37 Typical High $6,606.93 | Facility | None | $501.19 | $3,467.37 | $6,606.93 |
Cigna Setting Professional Modifier None Typical Low $630.96 Median $660.69 Typical High $1,318.26 | Professional | None | $630.96 | $660.69 | $1,318.26 |
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 $354.81 Median $758.58 Typical High $933.25 | Professional | None | $354.81 | $758.58 | $933.25 |
Molina Setting Professional Modifier None Typical Low $60.26 Median $537.03 Typical High $1,000.00 | Professional | None | $60.26 | $537.03 | $1,000.00 |
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 $575.44 Median $724.44 Typical High $1,445.44 | Professional | None | $575.44 | $724.44 | $1,445.44 |
Wellpoint Setting Professional Modifier None Typical Low $616.60 Median $616.60 Typical High $831.76 | Professional | None | $616.60 | $616.60 | $831.76 |
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 $346.74 Median $380.19 Typical High $457.09 | Professional | 52 · Reduced service | $346.74 | $380.19 | $457.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $138.04 Median $151.36 Typical High $181.97 | Professional | 53 · Discontinued | $138.04 | $151.36 | $181.97 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $524.81 Median $562.34 Typical High $691.83 | Professional | 54 · Surgery only | $524.81 | $562.34 | $691.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $104.71 Median $112.20 Typical High $138.04 | Professional | 55 · Aftercare only | $104.71 | $112.20 | $138.04 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $69.18 Median $75.86 Typical High $91.20 | Professional | 56 · Pre-op care only | $69.18 | $75.86 | $91.20 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $489.78 Median $524.81 Typical High $645.65 | Professional | 78 · Unplanned return to OR | $489.78 | $524.81 | $645.65 |
Where Florida sits
The same service costs 8.1 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
$724
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.