How much rates vary
Facilitymedian $2,399 · 10th to 90th $891 to $14,125Professionalmedian $589 · 10th to 90th $398 to $1,000
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 $741.31 Median $6,456.54 Typical High $12,022.64 | Facility | None | $741.31 | $6,456.54 | $12,022.64 |
Aetna Setting Professional Modifier None Typical Low $575.44 Median $588.84 Typical High $1,148.15 | Professional | None | $575.44 | $588.84 | $1,148.15 |
AvMed Setting Facility Modifier None Typical Low $512.86 Median $2,511.89 Typical High $13,182.57 | Facility | None | $512.86 | $2,511.89 | $13,182.57 |
AvMed Setting Professional Modifier None Typical Low $501.19 Median $660.69 Typical High $758.58 | Professional | None | $501.19 | $660.69 | $758.58 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $2,570.40 Typical High $17,782.79 | Facility | None | $512.86 | $2,570.40 | $17,782.79 |
Cigna Setting Professional Modifier None Typical Low $457.09 Median $676.08 Typical High $1,318.26 | Professional | None | $457.09 | $676.08 | $1,318.26 |
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 $416.87 Median $446.68 Typical High $660.69 | Professional | None | $416.87 | $446.68 | $660.69 |
Molina Setting Professional Modifier None Typical Low $60.26 Median $562.34 Typical High $794.33 | Professional | None | $60.26 | $562.34 | $794.33 |
United Setting Facility Modifier None Typical Low $954.99 Median $2,290.87 Typical High $8,912.51 | Facility | None | $954.99 | $2,290.87 | $8,912.51 |
United Setting Professional Modifier None Typical Low $54.95 Median $741.31 Typical High $1,659.59 | Professional | None | $54.95 | $741.31 | $1,659.59 |
Wellpoint Setting Professional Modifier None Typical Low $446.68 Median $446.68 Typical High $630.96 | Professional | None | $446.68 | $446.68 | $630.96 |
7 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 $288.40 Median $295.12 Typical High $389.05 | Professional | 52 · Reduced service | $288.40 | $295.12 | $389.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $117.49 Median $117.49 Typical High $154.88 | Professional | 53 · Discontinued | $117.49 | $117.49 | $154.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $436.52 Median $436.52 Typical High $575.44 | Professional | 54 · Surgery only | $436.52 | $436.52 | $575.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $87.10 Median $89.13 Typical High $114.82 | Professional | 55 · Aftercare only | $87.10 | $89.13 | $114.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $57.54 Median $58.88 Typical High $77.62 | Professional | 56 · Pre-op care only | $57.54 | $58.88 | $77.62 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $407.38 Median $407.38 Typical High $537.03 | Professional | 78 · Unplanned return to OR | $407.38 | $407.38 | $537.03 |
Ambetter Setting Professional Modifier 51 · Multiple procedures Typical Low $416.87 Median $812.83 Typical High $812.83 | Professional | 51 · Multiple procedures | $416.87 | $812.83 | $812.83 |
Where Florida sits
The same service costs 4.7 times more in Wisconsin than in Kentucky. 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
WI $8,213KY $1,765
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.