How much rates vary
Facilitymedian $5,129 · 10th to 90th $1,479 to $15,136Professionalmedian $776 · 10th to 90th $93 to $1,230
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 $776.25 Median $4,786.30 Typical High $12,022.64 | Facility | None | $776.25 | $4,786.30 | $12,022.64 |
Aetna Setting Professional Modifier None Typical Low $831.76 Median $912.01 Typical High $1,122.02 | Professional | None | $831.76 | $912.01 | $1,122.02 |
AvMed Setting Facility Modifier None Typical Low $776.25 Median $2,137.96 Typical High $11,748.98 | Facility | None | $776.25 | $2,137.96 | $11,748.98 |
AvMed Setting Professional Modifier None Typical Low $776.25 Median $1,023.29 Typical High $1,174.90 | Professional | None | $776.25 | $1,023.29 | $1,174.90 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $8,511.38 Typical High $16,218.10 | Facility | None | $501.19 | $8,511.38 | $16,218.10 |
Cigna Setting Professional Modifier None Typical Low $741.31 Median $776.25 Typical High $1,584.89 | Professional | None | $741.31 | $776.25 | $1,584.89 |
Florida Blue Setting Facility Modifier None Typical Low $2,884.03 Median $5,623.41 Typical High $16,982.44 | Facility | None | $2,884.03 | $5,623.41 | $16,982.44 |
Florida Blue Setting Professional Modifier None Typical Low $426.58 Median $933.25 Typical High $1,148.15 | Professional | None | $426.58 | $933.25 | $1,148.15 |
Molina Setting Professional Modifier None Typical Low $60.26 Median $630.96 Typical High $1,122.02 | Professional | None | $60.26 | $630.96 | $1,122.02 |
United Setting Facility Modifier None Typical Low $1,584.89 Median $4,073.80 Typical High $15,848.93 | Facility | None | $1,584.89 | $4,073.80 | $15,848.93 |
United Setting Professional Modifier None Typical Low $691.83 Median $891.25 Typical High $1,698.24 | Professional | None | $691.83 | $891.25 | $1,698.24 |
Wellpoint Setting Professional Modifier None Typical Low $724.44 Median $724.44 Typical High $977.24 | Professional | None | $724.44 | $724.44 | $977.24 |
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 $416.87 Median $457.09 Typical High $537.03 | Professional | 52 · Reduced service | $416.87 | $457.09 | $537.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $165.96 Median $181.97 Typical High $218.78 | Professional | 53 · Discontinued | $165.96 | $181.97 | $218.78 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $616.60 Median $676.08 Typical High $812.83 | Professional | 54 · Surgery only | $616.60 | $676.08 | $812.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $123.03 Median $134.90 Typical High $162.18 | Professional | 55 · Aftercare only | $123.03 | $134.90 | $162.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $83.18 Median $91.20 Typical High $107.15 | Professional | 56 · Pre-op care only | $83.18 | $91.20 | $107.15 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $575.44 Median $630.96 Typical High $758.58 | Professional | 78 · Unplanned return to OR | $575.44 | $630.96 | $758.58 |
Where Florida sits
The same service costs 7.2 times more in Alaska 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
AK $19,657HI $2,734
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.