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 $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 $954.99 Median $1,096.48 Typical High $1,445.44 | Professional | None | $954.99 | $1,096.48 | $1,445.44 |
AvMed Setting Facility Modifier None Typical Low $724.44 Median $2,398.83 Typical High $9,772.37 | Facility | None | $724.44 | $2,398.83 | $9,772.37 |
AvMed Setting Professional Modifier None Typical Low $977.24 Median $1,202.26 Typical High $1,380.38 | Professional | None | $977.24 | $1,202.26 | $1,380.38 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $3,311.31 Typical High $5,370.32 | Facility | None | $707.95 | $3,311.31 | $5,370.32 |
Cigna Setting Professional Modifier None Typical Low $912.01 Median $1,258.93 Typical High $2,344.23 | Professional | None | $912.01 | $1,258.93 | $2,344.23 |
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 $812.83 Median $870.96 Typical High $1,174.90 | Professional | None | $812.83 | $870.96 | $1,174.90 |
Molina Setting Professional Modifier None Typical Low $109.65 Median $891.25 Typical High $1,905.46 | Professional | None | $109.65 | $891.25 | $1,905.46 |
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 $1,318.26 Typical High $2,511.89 | Professional | None | $60.26 | $1,318.26 | $2,511.89 |
Wellpoint Setting Professional Modifier None Typical Low $912.01 Median $912.01 Typical High $1,174.90 | Professional | None | $912.01 | $912.01 | $1,174.90 |
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 $478.63 Median $549.54 Typical High $707.95 | Professional | 52 · Reduced service | $478.63 | $549.54 | $707.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $190.55 Median $218.78 Typical High $288.40 | Professional | 53 · Discontinued | $190.55 | $218.78 | $288.40 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $724.44 Median $831.76 Typical High $1,071.52 | Professional | 54 · Surgery only | $724.44 | $831.76 | $1,071.52 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $144.54 Median $165.96 Typical High $213.80 | Professional | 55 · Aftercare only | $144.54 | $165.96 | $213.80 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $95.50 Median $109.65 Typical High $144.54 | Professional | 56 · Pre-op care only | $95.50 | $109.65 | $144.54 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $676.08 Median $776.25 Typical High $1,000.00 | Professional | 78 · Unplanned return to OR | $676.08 | $776.25 | $1,000.00 |
Where Florida sits
The same service costs 6.6 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
$1,230
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.