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 $776.25 Median $4,677.35 Typical High $11,748.98 | Facility | None | $776.25 | $4,677.35 | $11,748.98 |
Aetna Setting Professional Modifier None Typical Low $776.25 Median $812.83 Typical High $1,000.00 | Professional | None | $776.25 | $812.83 | $1,000.00 |
AvMed Setting Facility Modifier None Typical Low $707.95 Median $2,137.96 Typical High $11,748.98 | Facility | None | $707.95 | $2,137.96 | $11,748.98 |
AvMed Setting Professional Modifier None Typical Low $707.95 Median $954.99 Typical High $1,096.48 | Professional | None | $707.95 | $954.99 | $1,096.48 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $6,309.57 Typical High $12,022.64 | Facility | None | $501.19 | $6,309.57 | $12,022.64 |
Cigna Setting Professional Modifier None Typical Low $660.69 Median $707.95 Typical High $1,445.44 | Professional | None | $660.69 | $707.95 | $1,445.44 |
Florida Blue Setting Facility Modifier None Typical Low $2,884.03 Median $5,888.44 Typical High $19,952.62 | Facility | None | $2,884.03 | $5,888.44 | $19,952.62 |
Florida Blue Setting Professional Modifier None Typical Low $398.11 Median $831.76 Typical High $1,148.15 | Professional | None | $398.11 | $831.76 | $1,148.15 |
Molina Setting Professional Modifier None Typical Low $60.26 Median $575.44 Typical High $1,047.13 | Professional | None | $60.26 | $575.44 | $1,047.13 |
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 $616.60 Median $812.83 Typical High $1,548.82 | Professional | None | $616.60 | $812.83 | $1,548.82 |
Wellpoint Setting Professional Modifier None Typical Low $660.69 Median $660.69 Typical High $891.25 | Professional | None | $660.69 | $660.69 | $891.25 |
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 $389.05 Median $407.38 Typical High $501.19 | Professional | 52 · Reduced service | $389.05 | $407.38 | $501.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $154.88 Median $162.18 Typical High $199.53 | Professional | 53 · Discontinued | $154.88 | $162.18 | $199.53 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $575.44 Median $616.60 Typical High $758.58 | Professional | 54 · Surgery only | $575.44 | $616.60 | $758.58 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $114.82 Median $123.03 Typical High $151.36 | Professional | 55 · Aftercare only | $114.82 | $123.03 | $151.36 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $77.62 Median $81.28 Typical High $100.00 | Professional | 56 · Pre-op care only | $77.62 | $81.28 | $100.00 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $537.03 Median $575.44 Typical High $707.95 | Professional | 78 · Unplanned return to OR | $537.03 | $575.44 | $707.95 |
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· 48th of 51
$776
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.