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 $1,000.00 Median $6,025.60 Typical High $12,302.69 | Facility | None | $1,000.00 | $6,025.60 | $12,302.69 |
Aetna Setting Professional Modifier None Typical Low $1,000.00 Median $1,047.13 Typical High $1,258.93 | Professional | None | $1,000.00 | $1,047.13 | $1,258.93 |
AvMed Setting Facility Modifier None Typical Low $691.83 Median $2,137.96 Typical High $9,772.37 | Facility | None | $691.83 | $2,137.96 | $9,772.37 |
AvMed Setting Professional Modifier None Typical Low $891.25 Median $1,230.27 Typical High $1,412.54 | Professional | None | $891.25 | $1,230.27 | $1,412.54 |
Cigna Setting Facility Modifier None Typical Low $616.60 Median $4,786.30 Typical High $9,120.11 | Facility | None | $616.60 | $4,786.30 | $9,120.11 |
Cigna Setting Professional Modifier None Typical Low $851.14 Median $891.25 Typical High $1,862.09 | Professional | None | $851.14 | $891.25 | $1,862.09 |
Florida Blue Setting Facility Modifier None Typical Low $2,818.38 Median $5,495.41 Typical High $16,982.44 | Facility | None | $2,818.38 | $5,495.41 | $16,982.44 |
Florida Blue Setting Professional Modifier None Typical Low $512.86 Median $1,071.52 Typical High $1,445.44 | Professional | None | $512.86 | $1,071.52 | $1,445.44 |
Molina Setting Professional Modifier None Typical Low $91.20 Median $676.08 Typical High $1,318.26 | Professional | None | $91.20 | $676.08 | $1,318.26 |
United Setting Facility Modifier None Typical Low $1,584.89 Median $4,073.80 Typical High $15,488.17 | Facility | None | $1,584.89 | $4,073.80 | $15,488.17 |
United Setting Professional Modifier None Typical Low $794.33 Median $1,023.29 Typical High $1,995.26 | Professional | None | $794.33 | $1,023.29 | $1,995.26 |
Wellpoint Setting Professional Modifier None Typical Low $831.76 Median $831.76 Typical High $1,122.02 | Professional | None | $831.76 | $831.76 | $1,122.02 |
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 $501.19 Median $524.81 Typical High $630.96 | Professional | 52 · Reduced service | $501.19 | $524.81 | $630.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $199.53 Median $208.93 Typical High $257.04 | Professional | 53 · Discontinued | $199.53 | $208.93 | $257.04 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $741.31 Median $776.25 Typical High $954.99 | Professional | 54 · Surgery only | $741.31 | $776.25 | $954.99 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $147.91 Median $154.88 Typical High $190.55 | Professional | 55 · Aftercare only | $147.91 | $154.88 | $190.55 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $100.00 Median $104.71 Typical High $125.89 | Professional | 56 · Pre-op care only | $100.00 | $104.71 | $125.89 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $691.83 Median $724.44 Typical High $891.25 | Professional | 78 · Unplanned return to OR | $691.83 | $724.44 | $891.25 |
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
$977
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.