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 $630.96 Median $4,786.30 Typical High $11,748.98 | Facility | None | $630.96 | $4,786.30 | $11,748.98 |
Aetna Setting Professional Modifier None Typical Low $295.12 Median $346.74 Typical High $446.68 | Professional | None | $295.12 | $346.74 | $446.68 |
AvMed Setting Facility Modifier None Typical Low $501.19 Median $2,137.96 Typical High $9,772.37 | Facility | None | $501.19 | $2,137.96 | $9,772.37 |
AvMed Setting Professional Modifier None Typical Low $316.23 Median $398.11 Typical High $446.68 | Professional | None | $316.23 | $398.11 | $446.68 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $3,467.37 Typical High $6,606.93 | Facility | None | $501.19 | $3,467.37 | $6,606.93 |
Cigna Setting Professional Modifier None Typical Low $281.84 Median $295.12 Typical High $588.84 | Professional | None | $281.84 | $295.12 | $588.84 |
Florida Blue Setting Facility Modifier None Typical Low $1,071.52 Median $2,238.72 Typical High $16,982.44 | Facility | None | $1,071.52 | $2,238.72 | $16,982.44 |
Florida Blue Setting Professional Modifier None Typical Low $147.91 Median $338.84 Typical High $602.56 | Professional | None | $147.91 | $338.84 | $602.56 |
Molina Setting Professional Modifier None Typical Low $31.62 Median $263.03 Typical High $457.09 | Professional | None | $31.62 | $263.03 | $457.09 |
United Setting Facility Modifier None Typical Low $794.33 Median $1,778.28 Typical High $7,762.47 | Facility | None | $794.33 | $1,778.28 | $7,762.47 |
United Setting Professional Modifier None Typical Low $251.19 Median $323.59 Typical High $645.65 | Professional | None | $251.19 | $323.59 | $645.65 |
Wellpoint Setting Professional Modifier None Typical Low $302.00 Median $302.00 Typical High $398.11 | Professional | None | $302.00 | $302.00 | $398.11 |
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 $144.54 Median $173.78 Typical High $208.93 | Professional | 52 · Reduced service | $144.54 | $173.78 | $208.93 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $58.88 Median $69.18 Typical High $83.18 | Professional | 53 · Discontinued | $58.88 | $69.18 | $83.18 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $218.78 Median $263.03 Typical High $309.03 | Professional | 54 · Surgery only | $218.78 | $263.03 | $309.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $43.65 Median $52.48 Typical High $63.10 | Professional | 55 · Aftercare only | $43.65 | $52.48 | $63.10 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $29.51 Median $34.67 Typical High $41.69 | Professional | 56 · Pre-op care only | $29.51 | $34.67 | $41.69 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $204.17 Median $245.47 Typical High $288.40 | Professional | 78 · Unplanned return to OR | $204.17 | $245.47 | $288.40 |
Where Florida sits
The same service costs 7.2 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
$339
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.