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 $1,000.00 Median $5,495.41 Typical High $12,589.25 | Facility | None | $1,000.00 | $5,495.41 | $12,589.25 |
Aetna Setting Professional Modifier None Typical Low $1,047.13 Median $1,148.15 Typical High $1,412.54 | Professional | None | $1,047.13 | $1,148.15 | $1,412.54 |
AvMed Setting Facility Modifier None Typical Low $1,023.29 Median $4,466.84 Typical High $13,182.57 | Facility | None | $1,023.29 | $4,466.84 | $13,182.57 |
AvMed Setting Professional Modifier None Typical Low $977.24 Median $1,288.25 Typical High $1,479.11 | Professional | None | $977.24 | $1,288.25 | $1,479.11 |
Cigna Setting Facility Modifier None Typical Low $537.03 Median $10,000.00 Typical High $19,498.45 | Facility | None | $537.03 | $10,000.00 | $19,498.45 |
Cigna Setting Professional Modifier None Typical Low $933.25 Median $977.24 Typical High $1,949.84 | Professional | None | $933.25 | $977.24 | $1,949.84 |
Florida Blue Setting Facility Modifier None Typical Low $1,621.81 Median $3,467.37 Typical High $16,982.44 | Facility | None | $1,621.81 | $3,467.37 | $16,982.44 |
Florida Blue Setting Professional Modifier None Typical Low $537.03 Median $1,122.02 Typical High $1,348.96 | Professional | None | $537.03 | $1,122.02 | $1,348.96 |
Molina Setting Professional Modifier None Typical Low $91.20 Median $776.25 Typical High $1,445.44 | Professional | None | $91.20 | $776.25 | $1,445.44 |
United Setting Facility Modifier None Typical Low $1,584.89 Median $4,677.35 Typical High $15,848.93 | Facility | None | $1,584.89 | $4,677.35 | $15,848.93 |
United Setting Professional Modifier None Typical Low $870.96 Median $1,148.15 Typical High $2,187.76 | Professional | None | $870.96 | $1,148.15 | $2,187.76 |
Wellpoint Setting Professional Modifier None Typical Low $912.01 Median $912.01 Typical High $1,230.27 | Professional | None | $912.01 | $912.01 | $1,230.27 |
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 $776.25 Median $870.96 Typical High $1,023.29 | Professional | 54 · Surgery only | $776.25 | $870.96 | $1,023.29 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $154.88 Median $173.78 Typical High $204.17 | Professional | 55 · Aftercare only | $154.88 | $173.78 | $204.17 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $104.71 Median $114.82 Typical High $138.04 | Professional | 56 · Pre-op care only | $104.71 | $114.82 | $138.04 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $724.44 Median $812.83 Typical High $954.99 | Professional | 78 · Unplanned return to OR | $724.44 | $812.83 | $954.99 |
Where Florida sits
The same service costs 8.1 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
$1,047
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.