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 $676.08 Typical High $851.14 | Professional | None | $660.69 | $676.08 | $851.14 |
AvMed Setting Facility Modifier None Typical Low $588.84 Median $2,089.30 Typical High $9,772.37 | Facility | None | $588.84 | $2,089.30 | $9,772.37 |
AvMed Setting Professional Modifier None Typical Low $588.84 Median $794.33 Typical High $933.25 | Professional | None | $588.84 | $794.33 | $933.25 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $1,905.46 Typical High $2,951.21 | Facility | None | $501.19 | $1,905.46 | $2,951.21 |
Cigna Setting Professional Modifier None Typical Low $549.54 Median $588.84 Typical High $1,202.26 | Professional | None | $549.54 | $588.84 | $1,202.26 |
Florida Blue Setting Facility Modifier None Typical Low $1,659.59 Median $3,548.13 Typical High $16,982.44 | Facility | None | $1,659.59 | $3,548.13 | $16,982.44 |
Florida Blue Setting Professional Modifier None Typical Low $331.13 Median $707.95 Typical High $1,023.29 | Professional | None | $331.13 | $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 $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 $512.86 Median $676.08 Typical High $1,288.25 | Professional | None | $512.86 | $676.08 | $1,288.25 |
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 $323.59 Median $338.84 Typical High $426.58 | Professional | 52 · Reduced service | $323.59 | $338.84 | $426.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $131.83 Median $134.90 Typical High $169.82 | Professional | 53 · Discontinued | $131.83 | $134.90 | $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 $97.72 Median $102.33 Typical High $125.89 | Professional | 55 · Aftercare only | $97.72 | $102.33 | $125.89 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $66.07 Median $67.61 Typical High $85.11 | Professional | 56 · Pre-op care only | $66.07 | $67.61 | $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 8.3 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.