How much rates vary
Facilitymedian $1,585 · 10th to 90th $550 to $6,166Professionalmedian $562 · 10th to 90th $87 to $933
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 $3,090.30 Typical High $11,481.54 | Facility | None | $645.65 | $3,090.30 | $11,481.54 |
Aetna Setting Professional Modifier None Typical Low $630.96 Median $676.08 Typical High $812.83 | Professional | None | $630.96 | $676.08 | $812.83 |
AvMed Setting Facility Modifier None Typical Low $616.60 Median $2,137.96 Typical High $11,748.98 | Facility | None | $616.60 | $2,137.96 | $11,748.98 |
AvMed Setting Professional Modifier None Typical Low $588.84 Median $776.25 Typical High $891.25 | Professional | None | $588.84 | $776.25 | $891.25 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $1,023.29 Typical High $2,691.53 | Facility | None | $512.86 | $1,023.29 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $537.03 Median $562.34 Typical High $1,148.15 | Professional | None | $537.03 | $562.34 | $1,148.15 |
Florida Blue Setting Facility Modifier None Typical Low $812.83 Median $1,819.70 Typical High $6,309.57 | Facility | None | $812.83 | $1,819.70 | $6,309.57 |
Florida Blue Setting Professional Modifier None Typical Low $323.59 Median $676.08 Typical High $851.14 | Professional | None | $323.59 | $676.08 | $851.14 |
Molina Setting Professional Modifier None Typical Low $60.26 Median $467.74 Typical High $851.14 | Professional | None | $60.26 | $467.74 | $851.14 |
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 $512.86 Median $660.69 Typical High $1,258.93 | Professional | None | $512.86 | $660.69 | $1,258.93 |
Wellpoint Setting Professional Modifier None Typical Low $537.03 Median $537.03 Typical High $724.44 | Professional | None | $537.03 | $537.03 | $724.44 |
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 $316.23 Median $331.13 Typical High $398.11 | Professional | 52 · Reduced service | $316.23 | $331.13 | $398.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $125.89 Median $134.90 Typical High $158.49 | Professional | 53 · Discontinued | $125.89 | $134.90 | $158.49 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $478.63 Median $501.19 Typical High $602.56 | Professional | 54 · Surgery only | $478.63 | $501.19 | $602.56 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $95.50 Median $100.00 Typical High $120.23 | Professional | 55 · Aftercare only | $95.50 | $100.00 | $120.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $63.10 Median $67.61 Typical High $79.43 | Professional | 56 · Pre-op care only | $63.10 | $67.61 | $79.43 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $446.68 Median $467.74 Typical High $562.34 | Professional | 78 · Unplanned return to OR | $446.68 | $467.74 | $562.34 |
Where Florida sits
The same service costs 4.3 times more in Alaska than in Alabama. 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 $6,582AL $1,537
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.