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 $776.25 Median $4,786.30 Typical High $11,748.98 | Facility | None | $776.25 | $4,786.30 | $11,748.98 |
Aetna Setting Professional Modifier None Typical Low $831.76 Median $891.25 Typical High $1,047.13 | Professional | None | $831.76 | $891.25 | $1,047.13 |
AvMed Setting Facility Modifier None Typical Low $741.31 Median $2,089.30 Typical High $9,772.37 | Facility | None | $741.31 | $2,089.30 | $9,772.37 |
AvMed Setting Professional Modifier None Typical Low $741.31 Median $933.25 Typical High $1,122.02 | Professional | None | $741.31 | $933.25 | $1,122.02 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $1,905.46 Typical High $2,951.21 | Facility | None | $501.19 | $1,905.46 | $2,951.21 |
Cigna Setting Professional Modifier None Typical Low $707.95 Median $724.44 Typical High $1,513.56 | Professional | None | $707.95 | $724.44 | $1,513.56 |
Florida Blue Setting Facility Modifier None Typical Low $1,230.27 Median $2,630.27 Typical High $16,982.44 | Facility | None | $1,230.27 | $2,630.27 | $16,982.44 |
Florida Blue Setting Professional Modifier None Typical Low $446.68 Median $851.14 Typical High $1,071.52 | Professional | None | $446.68 | $851.14 | $1,071.52 |
Molina Setting Professional Modifier None Typical Low $89.13 Median $575.44 Typical High $1,096.48 | Professional | None | $89.13 | $575.44 | $1,096.48 |
United Setting Facility Modifier None Typical Low $954.99 Median $2,344.23 Typical High $10,000.00 | Facility | None | $954.99 | $2,344.23 | $10,000.00 |
United Setting Professional Modifier None Typical Low $630.96 Median $851.14 Typical High $1,659.59 | Professional | None | $630.96 | $851.14 | $1,659.59 |
Wellpoint Setting Professional Modifier None Typical Low $707.95 Median $707.95 Typical High $933.25 | Professional | None | $707.95 | $707.95 | $933.25 |
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 $426.58 Median $436.52 Typical High $537.03 | Professional | 52 · Reduced service | $426.58 | $436.52 | $537.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $173.78 Median $177.83 Typical High $213.80 | Professional | 53 · Discontinued | $173.78 | $177.83 | $213.80 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $645.65 Median $660.69 Typical High $812.83 | Professional | 54 · Surgery only | $645.65 | $660.69 | $812.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $128.82 Median $131.83 Typical High $162.18 | Professional | 55 · Aftercare only | $128.82 | $131.83 | $162.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $85.11 Median $89.13 Typical High $107.15 | Professional | 56 · Pre-op care only | $85.11 | $89.13 | $107.15 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $602.56 Median $616.60 Typical High $758.58 | Professional | 78 · Unplanned return to OR | $602.56 | $616.60 | $758.58 |
Where Florida sits
The same service costs 7.6 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
$832
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.