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 $616.60 Median $676.08 Typical High $912.01 | Professional | None | $616.60 | $676.08 | $912.01 |
AvMed Setting Facility Modifier None Typical Low $660.69 Median $2,089.30 Typical High $9,772.37 | Facility | None | $660.69 | $2,089.30 | $9,772.37 |
AvMed Setting Professional Modifier None Typical Low $660.69 Median $831.76 Typical High $933.25 | Professional | None | $660.69 | $831.76 | $933.25 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $1,905.46 Typical High $2,884.03 | Facility | None | $501.19 | $1,905.46 | $2,884.03 |
Cigna Setting Professional Modifier None Typical Low $602.56 Median $645.65 Typical High $1,230.27 | Professional | None | $602.56 | $645.65 | $1,230.27 |
Florida Blue Setting Facility Modifier None Typical Low $1,230.27 Median $2,630.27 Typical High $16,982.44 | Facility | None | $1,230.27 | $2,630.27 | $16,982.44 |
Florida Blue Setting Professional Modifier None Typical Low $316.23 Median $707.95 Typical High $891.25 | Professional | None | $316.23 | $707.95 | $891.25 |
Molina Setting Professional Modifier None Typical Low $60.26 Median $512.86 Typical High $954.99 | Professional | None | $60.26 | $512.86 | $954.99 |
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 $537.03 Median $691.83 Typical High $1,348.96 | Professional | None | $537.03 | $691.83 | $1,348.96 |
Wellpoint Setting Professional Modifier None Typical Low $630.96 Median $630.96 Typical High $831.76 | Professional | None | $630.96 | $630.96 | $831.76 |
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 $309.03 Median $338.84 Typical High $446.68 | Professional | 52 · Reduced service | $309.03 | $338.84 | $446.68 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $125.89 Median $134.90 Typical High $181.97 | Professional | 53 · Discontinued | $125.89 | $134.90 | $181.97 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $467.74 Median $501.19 Typical High $676.08 | Professional | 54 · Surgery only | $467.74 | $501.19 | $676.08 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $93.33 Median $100.00 Typical High $134.90 | Professional | 55 · Aftercare only | $93.33 | $100.00 | $134.90 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $61.66 Median $67.61 Typical High $91.20 | Professional | 56 · Pre-op care only | $61.66 | $67.61 | $91.20 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $436.52 Median $467.74 Typical High $630.96 | Professional | 78 · Unplanned return to OR | $436.52 | $467.74 | $630.96 |
Where Florida sits
The same service costs 7.4 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· 49th of 51
$676
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.