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 $660.69 Median $4,786.30 Typical High $11,748.98 | Facility | None | $660.69 | $4,786.30 | $11,748.98 |
Aetna Setting Professional Modifier None Typical Low $660.69 Median $691.83 Typical High $851.14 | Professional | None | $660.69 | $691.83 | $851.14 |
AvMed Setting Facility Modifier None Typical Low $602.56 Median $2,137.96 Typical High $9,772.37 | Facility | None | $602.56 | $2,137.96 | $9,772.37 |
AvMed Setting Professional Modifier None Typical Low $602.56 Median $812.83 Typical High $933.25 | Professional | None | $602.56 | $812.83 | $933.25 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $3,467.37 Typical High $6,606.93 | Facility | None | $501.19 | $3,467.37 | $6,606.93 |
Cigna Setting Professional Modifier None Typical Low $562.34 Median $588.84 Typical High $1,230.27 | Professional | None | $562.34 | $588.84 | $1,230.27 |
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 $338.84 Median $707.95 Typical High $1,023.29 | Professional | None | $338.84 | $707.95 | $1,023.29 |
Molina Setting Professional Modifier None Typical Low $60.26 Median $489.78 Typical High $851.14 | Professional | None | $60.26 | $489.78 | $851.14 |
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 $524.81 Median $676.08 Typical High $1,318.26 | Professional | None | $524.81 | $676.08 | $1,318.26 |
Wellpoint Setting Professional Modifier None Typical Low $562.34 Median $562.34 Typical High $741.31 | Professional | None | $562.34 | $562.34 | $741.31 |
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 $331.13 Median $346.74 Typical High $426.58 | Professional | 52 · Reduced service | $331.13 | $346.74 | $426.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $131.83 Median $138.04 Typical High $169.82 | Professional | 53 · Discontinued | $131.83 | $138.04 | $169.82 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $489.78 Median $512.86 Typical High $630.96 | Professional | 54 · Surgery only | $489.78 | $512.86 | $630.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $100.00 Median $102.33 Typical High $128.82 | Professional | 55 · Aftercare only | $100.00 | $102.33 | $128.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $66.07 Median $69.18 Typical High $85.11 | Professional | 56 · Pre-op care only | $66.07 | $69.18 | $85.11 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $457.09 Median $478.63 Typical High $588.84 | Professional | 78 · Unplanned return to OR | $457.09 | $478.63 | $588.84 |
Where Florida sits
The same service costs 7.6 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
$646
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.