How much rates vary
Facilitymedian $5,012 · 10th to 90th $1,479 to $15,136Professionalmedian $661 · 10th to 90th $91 to $1,072
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 $4,677.35 Typical High $12,022.64 | Facility | None | $707.95 | $4,677.35 | $12,022.64 |
Aetna Setting Professional Modifier None Typical Low $707.95 Median $776.25 Typical High $1,023.29 | Professional | None | $707.95 | $776.25 | $1,023.29 |
Ambetter Setting Professional Modifier None Typical Low $977.24 Median $977.24 Typical High $977.24 | Professional | None | $977.24 | $977.24 | $977.24 |
AvMed Setting Facility Modifier None Typical Low $660.69 Median $2,137.96 Typical High $11,748.98 | Facility | None | $660.69 | $2,137.96 | $11,748.98 |
AvMed Setting Professional Modifier None Typical Low $660.69 Median $870.96 Typical High $1,000.00 | Professional | None | $660.69 | $870.96 | $1,000.00 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $8,317.64 Typical High $15,848.93 | Facility | None | $501.19 | $8,317.64 | $15,848.93 |
Cigna Setting Professional Modifier None Typical Low $630.96 Median $660.69 Typical High $1,348.96 | Professional | None | $630.96 | $660.69 | $1,348.96 |
Florida Blue Setting Facility Modifier None Typical Low $2,884.03 Median $5,495.41 Typical High $16,982.44 | Facility | None | $2,884.03 | $5,495.41 | $16,982.44 |
Florida Blue Setting Professional Modifier None Typical Low $363.08 Median $758.58 Typical High $1,000.00 | Professional | None | $363.08 | $758.58 | $1,000.00 |
Molina Setting Professional Modifier None Typical Low $60.26 Median $549.54 Typical High $1,000.00 | Professional | None | $60.26 | $549.54 | $1,000.00 |
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 $588.84 Median $758.58 Typical High $1,445.44 | Professional | None | $588.84 | $758.58 | $1,445.44 |
Wellpoint Setting Professional Modifier None Typical Low $630.96 Median $630.96 Typical High $831.76 | Professional | None | $630.96 | $630.96 | $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 $354.81 Median $389.05 Typical High $457.09 | Professional | 52 · Reduced service | $354.81 | $389.05 | $457.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $141.25 Median $154.88 Typical High $186.21 | Professional | 53 · Discontinued | $141.25 | $154.88 | $186.21 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $524.81 Median $575.44 Typical High $691.83 | Professional | 54 · Surgery only | $524.81 | $575.44 | $691.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $107.15 Median $114.82 Typical High $138.04 | Professional | 55 · Aftercare only | $107.15 | $114.82 | $138.04 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $70.79 Median $77.62 Typical High $91.20 | Professional | 56 · Pre-op care only | $70.79 | $77.62 | $91.20 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $489.78 Median $537.03 Typical High $645.65 | Professional | 78 · Unplanned return to OR | $489.78 | $537.03 | $645.65 |
Where Florida sits
The same service costs 7.5 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 $19,036HI $2,542
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.