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 $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 $870.96 Median $954.99 Typical High $1,148.15 | Professional | None | $870.96 | $954.99 | $1,148.15 |
AvMed Setting Facility Modifier None Typical Low $724.44 Median $2,454.71 Typical High $11,748.98 | Facility | None | $724.44 | $2,454.71 | $11,748.98 |
AvMed Setting Professional Modifier None Typical Low $812.83 Median $1,071.52 Typical High $1,230.27 | Professional | None | $812.83 | $1,071.52 | $1,230.27 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $9,120.11 Typical High $16,982.44 | Facility | None | $707.95 | $9,120.11 | $16,982.44 |
Cigna Setting Professional Modifier None Typical Low $776.25 Median $812.83 Typical High $1,659.59 | Professional | None | $776.25 | $812.83 | $1,659.59 |
Florida Blue Setting Facility Modifier None Typical Low $2,884.03 Median $5,754.40 Typical High $16,982.44 | Facility | None | $2,884.03 | $5,754.40 | $16,982.44 |
Florida Blue Setting Professional Modifier None Typical Low $446.68 Median $933.25 Typical High $1,148.15 | Professional | None | $446.68 | $933.25 | $1,148.15 |
Molina Setting Professional Modifier None Typical Low $60.26 Median $645.65 Typical High $1,174.90 | Professional | None | $60.26 | $645.65 | $1,174.90 |
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 $724.44 Median $912.01 Typical High $1,778.28 | Professional | None | $724.44 | $912.01 | $1,778.28 |
Wellpoint Setting Professional Modifier None Typical Low $758.58 Median $758.58 Typical High $1,023.29 | Professional | None | $758.58 | $758.58 | $1,023.29 |
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 $436.52 Median $478.63 Typical High $562.34 | Professional | 52 · Reduced service | $436.52 | $478.63 | $562.34 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $173.78 Median $190.55 Typical High $223.87 | Professional | 53 · Discontinued | $173.78 | $190.55 | $223.87 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $645.65 Median $707.95 Typical High $851.14 | Professional | 54 · Surgery only | $645.65 | $707.95 | $851.14 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $128.82 Median $141.25 Typical High $169.82 | Professional | 55 · Aftercare only | $128.82 | $141.25 | $169.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $87.10 Median $95.50 Typical High $112.20 | Professional | 56 · Pre-op care only | $87.10 | $95.50 | $112.20 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $602.56 Median $660.69 Typical High $794.33 | Professional | 78 · Unplanned return to OR | $602.56 | $660.69 | $794.33 |
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
$871
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.