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 $851.14 Median $5,495.41 Typical High $12,589.25 | Facility | None | $851.14 | $5,495.41 | $12,589.25 |
Aetna Setting Professional Modifier None Typical Low $851.14 Median $933.25 Typical High $1,202.26 | Professional | None | $851.14 | $933.25 | $1,202.26 |
AvMed Setting Facility Modifier None Typical Low $851.14 Median $3,467.37 Typical High $12,882.50 | Facility | None | $851.14 | $3,467.37 | $12,882.50 |
AvMed Setting Professional Modifier None Typical Low $812.83 Median $1,071.52 Typical High $1,202.26 | Professional | None | $812.83 | $1,071.52 | $1,202.26 |
Cigna Setting Facility Modifier None Typical Low $537.03 Median $3,981.07 Typical High $11,481.54 | Facility | None | $537.03 | $3,981.07 | $11,481.54 |
Cigna Setting Professional Modifier None Typical Low $758.58 Median $812.83 Typical High $1,621.81 | Professional | None | $758.58 | $812.83 | $1,621.81 |
Florida Blue Setting Facility Modifier None Typical Low $2,630.27 Median $5,495.41 Typical High $16,982.44 | Facility | None | $2,630.27 | $5,495.41 | $16,982.44 |
Florida Blue Setting Professional Modifier None Typical Low $436.52 Median $933.25 Typical High $1,148.15 | Professional | None | $436.52 | $933.25 | $1,148.15 |
Molina Setting Professional Modifier None Typical Low $60.26 Median $630.96 Typical High $1,148.15 | Professional | None | $60.26 | $630.96 | $1,148.15 |
United Setting Facility Modifier None Typical Low $1,621.81 Median $4,570.88 Typical High $15,488.17 | Facility | None | $1,621.81 | $4,570.88 | $15,488.17 |
United Setting Professional Modifier None Typical Low $707.95 Median $933.25 Typical High $1,778.28 | Professional | None | $707.95 | $933.25 | $1,778.28 |
Wellpoint Setting Professional Modifier None Typical Low $758.58 Median $758.58 Typical High $1,023.29 | Professional | None | $758.58 | $758.58 | $1,023.29 |
4 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 54 · Surgery only Typical Low $645.65 Median $691.83 Typical High $831.76 | Professional | 54 · Surgery only | $645.65 | $691.83 | $831.76 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $128.82 Median $138.04 Typical High $165.96 | Professional | 55 · Aftercare only | $128.82 | $138.04 | $165.96 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $85.11 Median $93.33 Typical High $112.20 | Professional | 56 · Pre-op care only | $85.11 | $93.33 | $112.20 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $602.56 Median $645.65 Typical High $776.25 | Professional | 78 · Unplanned return to OR | $602.56 | $645.65 | $776.25 |
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
$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.