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 $4,897.79 Typical High $12,302.69 | Facility | None | $776.25 | $4,897.79 | $12,302.69 |
Aetna Setting Professional Modifier None Typical Low $812.83 Median $831.76 Typical High $1,174.90 | Professional | None | $812.83 | $831.76 | $1,174.90 |
AvMed Setting Facility Modifier None Typical Low $851.14 Median $4,168.69 Typical High $11,748.98 | Facility | None | $851.14 | $4,168.69 | $11,748.98 |
AvMed Setting Professional Modifier None Typical Low $851.14 Median $1,047.13 Typical High $1,230.27 | Professional | None | $851.14 | $1,047.13 | $1,230.27 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $4,365.16 Typical High $8,317.64 | Facility | None | $501.19 | $4,365.16 | $8,317.64 |
Cigna Setting Professional Modifier None Typical Low $794.33 Median $831.76 Typical High $1,621.81 | Professional | None | $794.33 | $831.76 | $1,621.81 |
Florida Blue Setting Facility Modifier None Typical Low $2,818.38 Median $5,495.41 Typical High $16,982.44 | Facility | None | $2,818.38 | $5,495.41 | $16,982.44 |
Florida Blue Setting Professional Modifier None Typical Low $426.58 Median $954.99 Typical High $1,148.15 | Professional | None | $426.58 | $954.99 | $1,148.15 |
Molina Setting Professional Modifier None Typical Low $60.26 Median $645.65 Typical High $1,230.27 | Professional | None | $60.26 | $645.65 | $1,230.27 |
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 $676.08 Median $912.01 Typical High $1,778.28 | Professional | None | $676.08 | $912.01 | $1,778.28 |
Wellpoint Setting Professional Modifier None Typical Low $794.33 Median $794.33 Typical High $1,047.13 | Professional | None | $794.33 | $794.33 | $1,047.13 |
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 $407.38 Median $407.38 Typical High $575.44 | Professional | 52 · Reduced service | $407.38 | $407.38 | $575.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $162.18 Median $165.96 Typical High $229.09 | Professional | 53 · Discontinued | $162.18 | $165.96 | $229.09 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $602.56 Median $616.60 Typical High $870.96 | Professional | 54 · Surgery only | $602.56 | $616.60 | $870.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $123.03 Median $123.03 Typical High $173.78 | Professional | 55 · Aftercare only | $123.03 | $123.03 | $173.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $81.28 Median $83.18 Typical High $114.82 | Professional | 56 · Pre-op care only | $81.28 | $83.18 | $114.82 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $562.34 Median $575.44 Typical High $812.83 | Professional | 78 · Unplanned return to OR | $562.34 | $575.44 | $812.83 |
Where Florida sits
The same service costs 13.8 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.
Florida· 47th of 51
$851
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.