How much rates vary
Facilitymedian $2,188 · 10th to 90th $1,023 to $12,023Professionalmedian $912 · 10th to 90th $132 to $1,479
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 $660.69 Median $4,073.80 Typical High $11,481.54 | Facility | None | $660.69 | $4,073.80 | $11,481.54 |
Aetna Setting Professional Modifier None Typical Low $478.63 Median $1,122.02 Typical High $1,348.96 | Professional | None | $478.63 | $1,122.02 | $1,348.96 |
AvMed Setting Facility Modifier None Typical Low $512.86 Median $1,621.81 Typical High $9,549.93 | Facility | None | $512.86 | $1,621.81 | $9,549.93 |
AvMed Setting Professional Modifier None Typical Low $616.60 Median $1,096.48 Typical High $1,380.38 | Professional | None | $616.60 | $1,096.48 | $1,380.38 |
Cigna Setting Facility Modifier None Typical Low $436.52 Median $1,862.09 Typical High $2,951.21 | Facility | None | $436.52 | $1,862.09 | $2,951.21 |
Cigna Setting Professional Modifier None Typical Low $831.76 Median $954.99 Typical High $1,698.24 | Professional | None | $831.76 | $954.99 | $1,698.24 |
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 $245.47 Median $616.60 Typical High $1,288.25 | Professional | None | $245.47 | $616.60 | $1,288.25 |
Molina Setting Professional Modifier None Typical Low $91.20 Median $776.25 Typical High $1,380.38 | Professional | None | $91.20 | $776.25 | $1,380.38 |
United Setting Facility Modifier None Typical Low $954.99 Median $2,344.23 Typical High $10,000.00 | Facility | None | $954.99 | $2,344.23 | $10,000.00 |
United Setting Professional Modifier None Typical Low $457.09 Median $933.25 Typical High $2,089.30 | Professional | None | $457.09 | $933.25 | $2,089.30 |
Wellpoint Setting Professional Modifier None Typical Low $691.83 Median $691.83 Typical High $1,202.26 | Professional | None | $691.83 | $691.83 | $1,202.26 |
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 $239.88 Median $562.34 Typical High $676.08 | Professional | 52 · Reduced service | $239.88 | $562.34 | $676.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $97.72 Median $229.09 Typical High $269.15 | Professional | 53 · Discontinued | $97.72 | $229.09 | $269.15 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $363.08 Median $851.14 Typical High $1,000.00 | Professional | 54 · Surgery only | $363.08 | $851.14 | $1,000.00 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $72.44 Median $169.82 Typical High $204.17 | Professional | 55 · Aftercare only | $72.44 | $169.82 | $204.17 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $47.86 Median $112.20 Typical High $134.90 | Professional | 56 · Pre-op care only | $47.86 | $112.20 | $134.90 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $338.84 Median $794.33 Typical High $933.25 | Professional | 78 · Unplanned return to OR | $338.84 | $794.33 | $933.25 |
Where Florida sits
The same service costs 3.7 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 $9,494KY $2,537
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.