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 $691.83 Median $4,786.30 Typical High $11,748.98 | Facility | None | $691.83 | $4,786.30 | $11,748.98 |
Aetna Setting Professional Modifier None Typical Low $660.69 Median $707.95 Typical High $954.99 | Professional | None | $660.69 | $707.95 | $954.99 |
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 $691.83 Median $870.96 Typical High $977.24 | Professional | None | $691.83 | $870.96 | $977.24 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $4,365.16 Typical High $8,317.64 | Facility | None | $501.19 | $4,365.16 | $8,317.64 |
Cigna Setting Professional Modifier None Typical Low $630.96 Median $676.08 Typical High $1,288.25 | Professional | None | $630.96 | $676.08 | $1,288.25 |
Florida Blue Setting Facility Modifier None Typical Low $1,318.26 Median $2,884.03 Typical High $19,952.62 | Facility | None | $1,318.26 | $2,884.03 | $19,952.62 |
Florida Blue Setting Professional Modifier None Typical Low $331.13 Median $758.58 Typical High $933.25 | Professional | None | $331.13 | $758.58 | $933.25 |
Molina Setting Professional Modifier None Typical Low $60.26 Median $537.03 Typical High $1,023.29 | Professional | None | $60.26 | $537.03 | $1,023.29 |
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 $562.34 Median $724.44 Typical High $1,412.54 | Professional | None | $562.34 | $724.44 | $1,412.54 |
Wellpoint Setting Professional Modifier None Typical Low $660.69 Median $660.69 Typical High $870.96 | Professional | None | $660.69 | $660.69 | $870.96 |
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 $354.81 Typical High $467.74 | Professional | 52 · Reduced service | $323.59 | $354.81 | $467.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $131.83 Median $141.25 Typical High $186.21 | Professional | 53 · Discontinued | $131.83 | $141.25 | $186.21 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $489.78 Median $524.81 Typical High $707.95 | Professional | 54 · Surgery only | $489.78 | $524.81 | $707.95 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $97.72 Median $107.15 Typical High $141.25 | Professional | 55 · Aftercare only | $97.72 | $107.15 | $141.25 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $66.07 Median $70.79 Typical High $93.33 | Professional | 56 · Pre-op care only | $66.07 | $70.79 | $93.33 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $457.09 Median $501.19 Typical High $660.69 | Professional | 78 · Unplanned return to OR | $457.09 | $501.19 | $660.69 |
Where Florida sits
The same service costs 8.1 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
$708
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.