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 $660.69 Median $4,786.30 Typical High $11,748.98 | Facility | None | $660.69 | $4,786.30 | $11,748.98 |
Aetna Setting Professional Modifier None Typical Low $616.60 Median $660.69 Typical High $794.33 | Professional | None | $616.60 | $660.69 | $794.33 |
AvMed Setting Facility Modifier None Typical Low $562.34 Median $2,089.30 Typical High $9,772.37 | Facility | None | $562.34 | $2,089.30 | $9,772.37 |
AvMed Setting Professional Modifier None Typical Low $537.03 Median $676.08 Typical High $812.83 | Professional | None | $537.03 | $676.08 | $812.83 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $1,905.46 Typical High $2,884.03 | Facility | None | $501.19 | $1,905.46 | $2,884.03 |
Cigna Setting Professional Modifier None Typical Low $512.86 Median $524.81 Typical High $1,122.02 | Professional | None | $512.86 | $524.81 | $1,122.02 |
Florida Blue Setting Facility Modifier None Typical Low $870.96 Median $1,737.80 Typical High $16,982.44 | Facility | None | $870.96 | $1,737.80 | $16,982.44 |
Florida Blue Setting Professional Modifier None Typical Low $316.23 Median $630.96 Typical High $776.25 | Professional | None | $316.23 | $630.96 | $776.25 |
Molina Setting Professional Modifier None Typical Low $93.33 Median $467.74 Typical High $831.76 | Professional | None | $93.33 | $467.74 | $831.76 |
United Setting Facility Modifier None Typical Low $794.33 Median $1,778.28 Typical High $7,585.78 | Facility | None | $794.33 | $1,778.28 | $7,585.78 |
United Setting Professional Modifier None Typical Low $457.09 Median $616.60 Typical High $1,202.26 | Professional | None | $457.09 | $616.60 | $1,202.26 |
Wellpoint Setting Professional Modifier None Typical Low $512.86 Median $512.86 Typical High $676.08 | Professional | None | $512.86 | $512.86 | $676.08 |
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 $309.03 Median $331.13 Typical High $398.11 | Professional | 52 · Reduced service | $309.03 | $331.13 | $398.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $123.03 Median $131.83 Typical High $158.49 | Professional | 53 · Discontinued | $123.03 | $131.83 | $158.49 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $457.09 Median $489.78 Typical High $588.84 | Professional | 54 · Surgery only | $457.09 | $489.78 | $588.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $91.20 Median $97.72 Typical High $117.49 | Professional | 55 · Aftercare only | $91.20 | $97.72 | $117.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $61.66 Median $66.07 Typical High $79.43 | Professional | 56 · Pre-op care only | $61.66 | $66.07 | $79.43 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $426.58 Median $457.09 Typical High $549.54 | Professional | 78 · Unplanned return to OR | $426.58 | $457.09 | $549.54 |
Where Florida sits
The same service costs 6.6 times more in Alaska than in Utah. 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· 48th of 51
$617
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.