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 $758.58 Median $6,025.60 Typical High $12,882.50 | Facility | None | $758.58 | $6,025.60 | $12,882.50 |
Aetna Setting Professional Modifier None Typical Low $645.65 Median $741.31 Typical High $891.25 | Professional | None | $645.65 | $741.31 | $891.25 |
AvMed Setting Facility Modifier None Typical Low $707.95 Median $2,454.71 Typical High $11,748.98 | Facility | None | $707.95 | $2,454.71 | $11,748.98 |
AvMed Setting Professional Modifier None Typical Low $630.96 Median $831.76 Typical High $933.25 | Professional | None | $630.96 | $831.76 | $933.25 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $6,309.57 Typical High $12,022.64 | Facility | None | $707.95 | $6,309.57 | $12,022.64 |
Cigna Setting Professional Modifier None Typical Low $602.56 Median $630.96 Typical High $1,258.93 | Professional | None | $602.56 | $630.96 | $1,258.93 |
Florida Blue Setting Facility Modifier None Typical Low $1,778.28 Median $3,715.35 Typical High $16,982.44 | Facility | None | $1,778.28 | $3,715.35 | $16,982.44 |
Florida Blue Setting Professional Modifier None Typical Low $331.13 Median $724.44 Typical High $891.25 | Professional | None | $331.13 | $724.44 | $891.25 |
Molina Setting Professional Modifier None Typical Low $60.26 Median $512.86 Typical High $891.25 | Professional | None | $60.26 | $512.86 | $891.25 |
United Setting Facility Modifier None Typical Low $1,318.26 Median $3,801.89 Typical High $16,595.87 | Facility | None | $1,318.26 | $3,801.89 | $16,595.87 |
United Setting Professional Modifier None Typical Low $549.54 Median $707.95 Typical High $1,380.38 | Professional | None | $549.54 | $707.95 | $1,380.38 |
Wellpoint Setting Professional Modifier None Typical Low $602.56 Median $602.56 Typical High $794.33 | Professional | None | $602.56 | $602.56 | $794.33 |
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 $371.54 Typical High $436.52 | Professional | 52 · Reduced service | $323.59 | $371.54 | $436.52 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $131.83 Median $147.91 Typical High $173.78 | Professional | 53 · Discontinued | $131.83 | $147.91 | $173.78 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $489.78 Median $549.54 Typical High $660.69 | Professional | 54 · Surgery only | $489.78 | $549.54 | $660.69 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $97.72 Median $109.65 Typical High $131.83 | Professional | 55 · Aftercare only | $97.72 | $109.65 | $131.83 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $64.57 Median $74.13 Typical High $87.10 | Professional | 56 · Pre-op care only | $64.57 | $74.13 | $87.10 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $457.09 Median $512.86 Typical High $616.60 | Professional | 78 · Unplanned return to OR | $457.09 | $512.86 | $616.60 |
Where Florida sits
The same service costs 16.2 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· 47th of 51
$676
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.