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 $6,025.60 Typical High $12,022.64 | Facility | None | $1,000.00 | $6,025.60 | $12,022.64 |
Aetna Setting Professional Modifier None Typical Low $891.25 Median $1,000.00 Typical High $1,288.25 | Professional | None | $891.25 | $1,000.00 | $1,288.25 |
AvMed Setting Facility Modifier None Typical Low $691.83 Median $2,137.96 Typical High $9,772.37 | Facility | None | $691.83 | $2,137.96 | $9,772.37 |
AvMed Setting Professional Modifier None Typical Low $891.25 Median $1,122.02 Typical High $1,288.25 | Professional | None | $891.25 | $1,122.02 | $1,288.25 |
Cigna Setting Facility Modifier None Typical Low $616.60 Median $3,235.94 Typical High $5,370.32 | Facility | None | $616.60 | $3,235.94 | $5,370.32 |
Cigna Setting Professional Modifier None Typical Low $831.76 Median $1,148.15 Typical High $2,137.96 | Professional | None | $831.76 | $1,148.15 | $2,137.96 |
Florida Blue Setting Facility Modifier None Typical Low $1,737.80 Median $3,548.13 Typical High $16,982.44 | Facility | None | $1,737.80 | $3,548.13 | $16,982.44 |
Florida Blue Setting Professional Modifier None Typical Low $741.31 Median $794.33 Typical High $1,071.52 | Professional | None | $741.31 | $794.33 | $1,071.52 |
Molina Setting Professional Modifier None Typical Low $104.71 Median $812.83 Typical High $1,737.80 | Professional | None | $104.71 | $812.83 | $1,737.80 |
United Setting Facility Modifier None Typical Low $1,230.27 Median $3,311.31 Typical High $12,589.25 | Facility | None | $1,230.27 | $3,311.31 | $12,589.25 |
United Setting Professional Modifier None Typical Low $60.26 Median $1,202.26 Typical High $2,344.23 | Professional | None | $60.26 | $1,202.26 | $2,344.23 |
Wellpoint Setting Professional Modifier None Typical Low $812.83 Median $812.83 Typical High $1,071.52 | Professional | None | $812.83 | $812.83 | $1,071.52 |
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 $446.68 Median $501.19 Typical High $645.65 | Professional | 52 · Reduced service | $446.68 | $501.19 | $645.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $177.83 Median $199.53 Typical High $257.04 | Professional | 53 · Discontinued | $177.83 | $199.53 | $257.04 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $660.69 Median $741.31 Typical High $977.24 | Professional | 54 · Surgery only | $660.69 | $741.31 | $977.24 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $131.83 Median $147.91 Typical High $194.98 | Professional | 55 · Aftercare only | $131.83 | $147.91 | $194.98 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $89.13 Median $100.00 Typical High $128.82 | Professional | 56 · Pre-op care only | $89.13 | $100.00 | $128.82 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $616.60 Median $691.83 Typical High $912.01 | Professional | 78 · Unplanned return to OR | $616.60 | $691.83 | $912.01 |
Where Florida sits
The same service costs 6.9 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· 46th of 51
$1,122
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.