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 $630.96 Median $4,786.30 Typical High $11,748.98 | Facility | None | $630.96 | $4,786.30 | $11,748.98 |
Aetna Setting Professional Modifier None Typical Low $501.19 Median $512.86 Typical High $660.69 | Professional | None | $501.19 | $512.86 | $660.69 |
AvMed Setting Facility Modifier None Typical Low $512.86 Median $1,905.46 Typical High $9,772.37 | Facility | None | $512.86 | $1,905.46 | $9,772.37 |
AvMed Setting Professional Modifier None Typical Low $467.74 Median $616.60 Typical High $707.95 | Professional | None | $467.74 | $616.60 | $707.95 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $1,023.29 Typical High $2,691.53 | Facility | None | $501.19 | $1,023.29 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $436.52 Median $457.09 Typical High $954.99 | Professional | None | $436.52 | $457.09 | $954.99 |
Florida Blue Setting Facility Modifier None Typical Low $1,230.27 Median $2,570.40 Typical High $6,309.57 | Facility | None | $1,230.27 | $2,570.40 | $6,309.57 |
Florida Blue Setting Professional Modifier None Typical Low $257.04 Median $562.34 Typical High $831.76 | Professional | None | $257.04 | $562.34 | $831.76 |
Molina Setting Professional Modifier None Typical Low $60.26 Median $371.54 Typical High $691.83 | Professional | None | $60.26 | $371.54 | $691.83 |
United Setting Facility Modifier None Typical Low $794.33 Median $1,778.28 Typical High $7,585.78 | Facility | None | $794.33 | $1,778.28 | $7,585.78 |
United Setting Professional Modifier None Typical Low $398.11 Median $524.81 Typical High $1,000.00 | Professional | None | $398.11 | $524.81 | $1,000.00 |
Wellpoint Setting Professional Modifier None Typical Low $446.68 Median $446.68 Typical High $588.84 | Professional | None | $446.68 | $446.68 | $588.84 |
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 $251.19 Median $257.04 Typical High $323.59 | Professional | 52 · Reduced service | $251.19 | $257.04 | $323.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $102.33 Median $102.33 Typical High $131.83 | Professional | 53 · Discontinued | $102.33 | $102.33 | $131.83 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $380.19 Median $389.05 Typical High $489.78 | Professional | 54 · Surgery only | $380.19 | $389.05 | $489.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $75.86 Median $77.62 Typical High $97.72 | Professional | 55 · Aftercare only | $75.86 | $77.62 | $97.72 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $50.12 Median $51.29 Typical High $66.07 | Professional | 56 · Pre-op care only | $50.12 | $51.29 | $66.07 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $354.81 Median $363.08 Typical High $457.09 | Professional | 78 · Unplanned return to OR | $354.81 | $363.08 | $457.09 |
Where Florida sits
The same service costs 7.4 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· 48th of 51
$501
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.