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 $645.65 Median $3,715.35 Typical High $11,481.54 | Facility | None | $645.65 | $3,715.35 | $11,481.54 |
Aetna Setting Professional Modifier None Typical Low $588.84 Median $660.69 Typical High $870.96 | Professional | None | $588.84 | $660.69 | $870.96 |
AvMed Setting Facility Modifier None Typical Low $512.86 Median $1,621.81 Typical High $9,549.93 | Facility | None | $512.86 | $1,621.81 | $9,549.93 |
AvMed Setting Professional Modifier None Typical Low $645.65 Median $794.33 Typical High $912.01 | Professional | None | $645.65 | $794.33 | $912.01 |
Cigna Setting Facility Modifier None Typical Low $436.52 Median $1,862.09 Typical High $2,884.03 | Facility | None | $436.52 | $1,862.09 | $2,884.03 |
Cigna Setting Professional Modifier None Typical Low $588.84 Median $630.96 Typical High $1,174.90 | Professional | None | $588.84 | $630.96 | $1,174.90 |
Florida Blue Setting Facility Modifier None Typical Low $660.69 Median $1,318.26 Typical High $16,982.44 | Facility | None | $660.69 | $1,318.26 | $16,982.44 |
Florida Blue Setting Professional Modifier None Typical Low $302.00 Median $660.69 Typical High $870.96 | Professional | None | $302.00 | $660.69 | $870.96 |
Molina Setting Professional Modifier None Typical Low $60.26 Median $501.19 Typical High $954.99 | Professional | None | $60.26 | $501.19 | $954.99 |
United Setting Facility Modifier None Typical Low $398.11 Median $1,000.00 Typical High $5,623.41 | Facility | None | $398.11 | $1,000.00 | $5,623.41 |
United Setting Professional Modifier None Typical Low $501.19 Median $645.65 Typical High $1,288.25 | Professional | None | $501.19 | $645.65 | $1,288.25 |
Wellpoint Setting Professional Modifier None Typical Low $616.60 Median $616.60 Typical High $812.83 | Professional | None | $616.60 | $616.60 | $812.83 |
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 $295.12 Median $323.59 Typical High $436.52 | Professional | 52 · Reduced service | $295.12 | $323.59 | $436.52 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $117.49 Median $131.83 Typical High $173.78 | Professional | 53 · Discontinued | $117.49 | $131.83 | $173.78 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $436.52 Median $489.78 Typical High $660.69 | Professional | 54 · Surgery only | $436.52 | $489.78 | $660.69 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $87.10 Median $97.72 Typical High $131.83 | Professional | 55 · Aftercare only | $87.10 | $97.72 | $131.83 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $58.88 Median $66.07 Typical High $87.10 | Professional | 56 · Pre-op care only | $58.88 | $66.07 | $87.10 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $407.38 Median $457.09 Typical High $616.60 | Professional | 78 · Unplanned return to OR | $407.38 | $457.09 | $616.60 |
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· 49th of 51
$646
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.