How much rates vary
Facilitymedian $1,445 · 10th to 90th $562 to $9,120Professionalmedian $1,023 · 10th to 90th $132 to $1,660
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 $776.25 Median $4,265.80 Typical High $11,748.98 | Facility | None | $776.25 | $4,265.80 | $11,748.98 |
Aetna Setting Professional Modifier None Typical Low $1,023.29 Median $1,202.26 Typical High $1,513.56 | Professional | None | $1,023.29 | $1,202.26 | $1,513.56 |
AvMed Setting Facility Modifier None Typical Low $912.01 Median $2,089.30 Typical High $9,772.37 | Facility | None | $912.01 | $2,089.30 | $9,772.37 |
AvMed Setting Professional Modifier None Typical Low $1,000.00 Median $1,348.96 Typical High $1,548.82 | Professional | None | $1,000.00 | $1,348.96 | $1,548.82 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $1,445.44 Typical High $2,691.53 | Facility | None | $501.19 | $1,445.44 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $977.24 Median $1,047.13 Typical High $2,089.30 | Professional | None | $977.24 | $1,047.13 | $2,089.30 |
Florida Blue Setting Facility Modifier None Typical Low $660.69 Median $1,348.96 Typical High $11,748.98 | Facility | None | $660.69 | $1,348.96 | $11,748.98 |
Florida Blue Setting Professional Modifier None Typical Low $549.54 Median $1,071.52 Typical High $1,445.44 | Professional | None | $549.54 | $1,071.52 | $1,445.44 |
Molina Setting Professional Modifier None Typical Low $91.20 Median $831.76 Typical High $1,513.56 | Professional | None | $91.20 | $831.76 | $1,513.56 |
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 $812.83 Median $1,096.48 Typical High $2,290.87 | Professional | None | $812.83 | $1,096.48 | $2,290.87 |
Wellpoint Setting Professional Modifier None Typical Low $1,000.00 Median $1,000.00 Typical High $1,348.96 | Professional | None | $1,000.00 | $1,000.00 | $1,348.96 |
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 $512.86 Median $602.56 Typical High $724.44 | Professional | 52 · Reduced service | $512.86 | $602.56 | $724.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $208.93 Median $239.88 Typical High $288.40 | Professional | 53 · Discontinued | $208.93 | $239.88 | $288.40 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $776.25 Median $912.01 Typical High $1,071.52 | Professional | 54 · Surgery only | $776.25 | $912.01 | $1,071.52 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $154.88 Median $181.97 Typical High $218.78 | Professional | 55 · Aftercare only | $154.88 | $181.97 | $218.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $102.33 Median $120.23 Typical High $144.54 | Professional | 56 · Pre-op care only | $102.33 | $120.23 | $144.54 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $724.44 Median $851.14 Typical High $1,023.29 | Professional | 78 · Unplanned return to OR | $724.44 | $851.14 | $1,023.29 |
Where Florida sits
The same service costs 3.7 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 $8,917DE $2,410
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.