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 $977.24 Median $6,025.60 Typical High $12,022.64 | Facility | None | $977.24 | $6,025.60 | $12,022.64 |
Aetna Setting Professional Modifier None Typical Low $912.01 Median $977.24 Typical High $1,230.27 | Professional | None | $912.01 | $977.24 | $1,230.27 |
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 $851.14 Median $1,148.15 Typical High $1,318.26 | Professional | None | $851.14 | $1,148.15 | $1,318.26 |
Cigna Setting Facility Modifier None Typical Low $616.60 Median $2,511.89 Typical High $3,890.45 | Facility | None | $616.60 | $2,511.89 | $3,890.45 |
Cigna Setting Professional Modifier None Typical Low $812.83 Median $870.96 Typical High $1,778.28 | Professional | None | $812.83 | $870.96 | $1,778.28 |
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 $467.74 Median $1,023.29 Typical High $1,412.54 | Professional | None | $467.74 | $1,023.29 | $1,412.54 |
Molina Setting Professional Modifier None Typical Low $91.20 Median $676.08 Typical High $1,230.27 | Professional | None | $91.20 | $676.08 | $1,230.27 |
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 $758.58 Median $1,000.00 Typical High $1,905.46 | Professional | None | $758.58 | $1,000.00 | $1,905.46 |
Wellpoint Setting Professional Modifier None Typical Low $794.33 Median $794.33 Typical High $1,071.52 | Professional | None | $794.33 | $794.33 | $1,071.52 |
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 $457.09 Median $478.63 Typical High $602.56 | Professional | 52 · Reduced service | $457.09 | $478.63 | $602.56 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $181.97 Median $194.98 Typical High $239.88 | Professional | 53 · Discontinued | $181.97 | $194.98 | $239.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $691.83 Median $724.44 Typical High $891.25 | Professional | 54 · Surgery only | $691.83 | $724.44 | $891.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $138.04 Median $144.54 Typical High $181.97 | Professional | 55 · Aftercare only | $138.04 | $144.54 | $181.97 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $91.20 Median $97.72 Typical High $120.23 | Professional | 56 · Pre-op care only | $91.20 | $97.72 | $120.23 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $645.65 Median $676.08 Typical High $831.76 | Professional | 78 · Unplanned return to OR | $645.65 | $676.08 | $831.76 |
Where Florida sits
The same service costs 19.5 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
$933
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.