How much rates vary
Facilitymedian $2,089 · 10th to 90th $871 to $11,749Professionalmedian $1,047 · 10th to 90th $151 to $2,042
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 $6,025.60 Typical High $12,882.50 | Facility | None | $851.14 | $6,025.60 | $12,882.50 |
Aetna Setting Professional Modifier None Typical Low $1,000.00 Median $1,148.15 Typical High $1,479.11 | Professional | None | $1,000.00 | $1,148.15 | $1,479.11 |
AvMed Setting Facility Modifier None Typical Low $724.44 Median $2,137.96 Typical High $9,772.37 | Facility | None | $724.44 | $2,137.96 | $9,772.37 |
AvMed Setting Professional Modifier None Typical Low $954.99 Median $1,202.26 Typical High $1,380.38 | Professional | None | $954.99 | $1,202.26 | $1,380.38 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $1,737.80 Typical High $3,801.89 | Facility | None | $707.95 | $1,737.80 | $3,801.89 |
Cigna Setting Professional Modifier None Typical Low $891.25 Median $1,258.93 Typical High $2,344.23 | Professional | None | $891.25 | $1,258.93 | $2,344.23 |
Florida Blue Setting Facility Modifier None Typical Low $977.24 Median $2,089.30 Typical High $16,982.44 | Facility | None | $977.24 | $2,089.30 | $16,982.44 |
Florida Blue Setting Professional Modifier None Typical Low $794.33 Median $851.14 Typical High $1,230.27 | Professional | None | $794.33 | $851.14 | $1,230.27 |
Molina Setting Professional Modifier None Typical Low $138.04 Median $977.24 Typical High $1,995.26 | Professional | None | $138.04 | $977.24 | $1,995.26 |
United Setting Facility Modifier None Typical Low $794.33 Median $1,778.28 Typical High $7,585.78 | Facility | None | $794.33 | $1,778.28 | $7,585.78 |
United Setting Professional Modifier None Typical Low $60.26 Median $1,348.96 Typical High $2,630.27 | Professional | None | $60.26 | $1,348.96 | $2,630.27 |
Wellpoint Setting Professional Modifier None Typical Low $870.96 Median $870.96 Typical High $1,148.15 | Professional | None | $870.96 | $870.96 | $1,148.15 |
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 $501.19 Median $575.44 Typical High $741.31 | Professional | 52 · Reduced service | $501.19 | $575.44 | $741.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $199.53 Median $229.09 Typical High $295.12 | Professional | 53 · Discontinued | $199.53 | $229.09 | $295.12 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $758.58 Median $851.14 Typical High $1,122.02 | Professional | 54 · Surgery only | $758.58 | $851.14 | $1,122.02 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $151.36 Median $173.78 Typical High $223.87 | Professional | 55 · Aftercare only | $151.36 | $173.78 | $223.87 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $100.00 Median $114.82 Typical High $147.91 | Professional | 56 · Pre-op care only | $100.00 | $114.82 | $147.91 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $707.95 Median $794.33 Typical High $1,047.13 | Professional | 78 · Unplanned return to OR | $707.95 | $794.33 | $1,047.13 |
Where Florida sits
The same service costs 3.2 times more in Alaska than in Delaware. 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.
Physician feeFacility fee
AK $8,931DE $2,772
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.