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 $776.25 Median $3,890.45 Typical High $12,022.64 | Facility | None | $776.25 | $3,890.45 | $12,022.64 |
Aetna Setting Professional Modifier None Typical Low $870.96 Median $912.01 Typical High $1,174.90 | Professional | None | $870.96 | $912.01 | $1,174.90 |
AvMed Setting Facility Modifier None Typical Low $812.83 Median $2,137.96 Typical High $13,182.57 | Facility | None | $812.83 | $2,137.96 | $13,182.57 |
AvMed Setting Professional Modifier None Typical Low $851.14 Median $1,071.52 Typical High $1,230.27 | Professional | None | $851.14 | $1,071.52 | $1,230.27 |
Cigna Setting Facility Modifier None Typical Low $398.11 Median $501.19 Typical High $2,691.53 | Facility | None | $398.11 | $501.19 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $724.44 Median $1,023.29 Typical High $2,089.30 | Professional | None | $724.44 | $1,023.29 | $2,089.30 |
Florida Blue Setting Facility Modifier None Typical Low $10,471.29 Median $22,387.21 Typical High $33,884.42 | Facility | None | $10,471.29 | $22,387.21 | $33,884.42 |
Florida Blue Setting Professional Modifier None Typical Low $707.95 Median $758.58 Typical High $1,122.02 | Professional | None | $707.95 | $758.58 | $1,122.02 |
Molina Setting Professional Modifier None Typical Low $104.71 Median $741.31 Typical High $1,548.82 | Professional | None | $104.71 | $741.31 | $1,548.82 |
United Setting Facility Modifier None Typical Low $371.54 Median $954.99 Typical High $7,585.78 | Facility | None | $371.54 | $954.99 | $7,585.78 |
United Setting Professional Modifier None Typical Low $60.26 Median $1,096.48 Typical High $2,137.96 | Professional | None | $60.26 | $1,096.48 | $2,137.96 |
Wellpoint Setting Professional Modifier None Typical Low $741.31 Median $741.31 Typical High $1,023.29 | Professional | None | $741.31 | $741.31 | $1,023.29 |
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 $436.52 Median $457.09 Typical High $575.44 | Professional | 52 · Reduced service | $436.52 | $457.09 | $575.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $173.78 Median $181.97 Typical High $234.42 | Professional | 53 · Discontinued | $173.78 | $181.97 | $234.42 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $660.69 Median $691.83 Typical High $870.96 | Professional | 54 · Surgery only | $660.69 | $691.83 | $870.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $131.83 Median $138.04 Typical High $173.78 | Professional | 55 · Aftercare only | $131.83 | $138.04 | $173.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $87.10 Median $91.20 Typical High $114.82 | Professional | 56 · Pre-op care only | $87.10 | $91.20 | $114.82 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $616.60 Median $645.65 Typical High $812.83 | Professional | 78 · Unplanned return to OR | $616.60 | $645.65 | $812.83 |
Where Florida sits
The same service costs 6.8 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· 48th of 51
$871
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.