How much rates vary
Facilitymedian $2,692 · 10th to 90th $1,072 to $12,023Professionalmedian $776 · 10th to 90th $132 to $1,230
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 $851.14 Median $6,025.60 Typical High $12,022.64 | Facility | None | $851.14 | $6,025.60 | $12,022.64 |
Aetna Setting Professional Modifier None Typical Low $758.58 Median $851.14 Typical High $1,148.15 | Professional | None | $758.58 | $851.14 | $1,148.15 |
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 $794.33 Median $1,000.00 Typical High $1,122.02 | Professional | None | $794.33 | $1,000.00 | $1,122.02 |
Cigna Setting Facility Modifier None Typical Low $616.60 Median $3,467.37 Typical High $6,606.93 | Facility | None | $616.60 | $3,467.37 | $6,606.93 |
Cigna Setting Professional Modifier None Typical Low $741.31 Median $794.33 Typical High $1,513.56 | Professional | None | $741.31 | $794.33 | $1,513.56 |
Florida Blue Setting Facility Modifier None Typical Low $1,318.26 Median $2,630.27 Typical High $16,982.44 | Facility | None | $1,318.26 | $2,630.27 | $16,982.44 |
Florida Blue Setting Professional Modifier None Typical Low $389.05 Median $851.14 Typical High $1,071.52 | Professional | None | $389.05 | $851.14 | $1,071.52 |
Molina Setting Professional Modifier None Typical Low $91.20 Median $630.96 Typical High $1,174.90 | Professional | None | $91.20 | $630.96 | $1,174.90 |
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 $660.69 Median $851.14 Typical High $1,659.59 | Professional | None | $660.69 | $851.14 | $1,659.59 |
Wellpoint Setting Professional Modifier None Typical Low $776.25 Median $776.25 Typical High $1,000.00 | Professional | None | $776.25 | $776.25 | $1,000.00 |
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 $380.19 Median $426.58 Typical High $549.54 | Professional | 52 · Reduced service | $380.19 | $426.58 | $549.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $151.36 Median $173.78 Typical High $218.78 | Professional | 53 · Discontinued | $151.36 | $173.78 | $218.78 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $575.44 Median $645.65 Typical High $831.76 | Professional | 54 · Surgery only | $575.44 | $645.65 | $831.76 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $114.82 Median $128.82 Typical High $165.96 | Professional | 55 · Aftercare only | $114.82 | $128.82 | $165.96 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $75.86 Median $85.11 Typical High $109.65 | Professional | 56 · Pre-op care only | $75.86 | $85.11 | $109.65 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $537.03 Median $602.56 Typical High $776.25 | Professional | 78 · Unplanned return to OR | $537.03 | $602.56 | $776.25 |
Where Florida sits
The same service costs 3.9 times more in Alaska than in Delaware. 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.
Physician feeFacility fee
AK $12,209DE $3,093
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.