How much rates vary
Facilitymedian $2,399 · 10th to 90th $676 to $14,454Professionalmedian $912 · 10th to 90th $132 to $1,445
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 $13,182.57 | Facility | None | $851.14 | $6,025.60 | $13,182.57 |
Aetna Setting Professional Modifier None Typical Low $977.24 Median $1,047.13 Typical High $1,412.54 | Professional | None | $977.24 | $1,047.13 | $1,412.54 |
Ambetter Setting Professional Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $1,122.02 | Professional | None | $1,122.02 | $1,122.02 | $1,122.02 |
AvMed Setting Facility Modifier None Typical Low $891.25 Median $3,467.37 Typical High $11,748.98 | Facility | None | $891.25 | $3,467.37 | $11,748.98 |
AvMed Setting Professional Modifier None Typical Low $891.25 Median $1,174.90 Typical High $1,348.96 | Professional | None | $891.25 | $1,174.90 | $1,348.96 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $3,548.13 Typical High $6,606.93 | Facility | None | $512.86 | $3,548.13 | $6,606.93 |
Cigna Setting Professional Modifier None Typical Low $851.14 Median $912.01 Typical High $1,819.70 | Professional | None | $851.14 | $912.01 | $1,819.70 |
Florida Blue Setting Facility Modifier None Typical Low $660.69 Median $1,412.54 Typical High $16,982.44 | Facility | None | $660.69 | $1,412.54 | $16,982.44 |
Florida Blue Setting Professional Modifier None Typical Low $489.78 Median $1,071.52 Typical High $1,348.96 | Professional | None | $489.78 | $1,071.52 | $1,348.96 |
Molina Setting Professional Modifier None Typical Low $91.20 Median $691.83 Typical High $1,318.26 | Professional | None | $91.20 | $691.83 | $1,318.26 |
United Setting Facility Modifier None Typical Low $1,584.89 Median $4,073.80 Typical High $15,488.17 | Facility | None | $1,584.89 | $4,073.80 | $15,488.17 |
United Setting Professional Modifier None Typical Low $794.33 Median $1,023.29 Typical High $1,995.26 | Professional | None | $794.33 | $1,023.29 | $1,995.26 |
Wellpoint Setting Professional Modifier None Typical Low $851.14 Median $851.14 Typical High $1,122.02 | Professional | None | $851.14 | $851.14 | $1,122.02 |
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 $478.63 Median $524.81 Typical High $630.96 | Professional | 52 · Reduced service | $478.63 | $524.81 | $630.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $194.98 Median $208.93 Typical High $251.19 | Professional | 53 · Discontinued | $194.98 | $208.93 | $251.19 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $724.44 Median $794.33 Typical High $933.25 | Professional | 54 · Surgery only | $724.44 | $794.33 | $933.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $144.54 Median $158.49 Typical High $186.21 | Professional | 55 · Aftercare only | $144.54 | $158.49 | $186.21 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $97.72 Median $104.71 Typical High $125.89 | Professional | 56 · Pre-op care only | $97.72 | $104.71 | $125.89 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $676.08 Median $741.31 Typical High $870.96 | Professional | 78 · Unplanned return to OR | $676.08 | $741.31 | $870.96 |
Where Florida sits
The same service costs 5.8 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.
Physician feeFacility fee
AK $16,006TX $2,764
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.