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 $2,511.89 Median $2,570.40 Typical High $3,311.31 | Professional | None | $2,511.89 | $2,570.40 | $3,311.31 |
AvMed Setting Facility Modifier None Typical Low $1,445.44 Median $2,691.53 Typical High $12,882.50 | Facility | None | $1,445.44 | $2,691.53 | $12,882.50 |
AvMed Setting Professional Modifier None Typical Low $2,290.87 Median $2,884.03 Typical High $3,311.31 | Professional | None | $2,290.87 | $2,884.03 | $3,311.31 |
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 $1,949.84 Median $2,818.38 Typical High $5,888.44 | Professional | None | $1,949.84 | $2,818.38 | $5,888.44 |
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 $1,905.46 Median $1,995.26 Typical High $2,818.38 | Professional | None | $1,905.46 | $1,995.26 | $2,818.38 |
Molina Setting Professional Modifier None Typical Low $173.78 Median $2,137.96 Typical High $3,388.44 | Professional | None | $173.78 | $2,137.96 | $3,388.44 |
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 $54.95 Median $3,162.28 Typical High $7,079.46 | Professional | None | $54.95 | $3,162.28 | $7,079.46 |
Wellpoint Setting Professional Modifier None Typical Low $1,995.26 Median $1,995.26 Typical High $2,884.03 | Professional | None | $1,995.26 | $1,995.26 | $2,884.03 |
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 $1,258.93 Median $1,288.25 Typical High $1,659.59 | Professional | 52 · Reduced service | $1,258.93 | $1,288.25 | $1,659.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $501.19 Median $512.86 Typical High $660.69 | Professional | 53 · Discontinued | $501.19 | $512.86 | $660.69 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,905.46 Median $1,949.84 Typical High $2,511.89 | Professional | 54 · Surgery only | $1,905.46 | $1,949.84 | $2,511.89 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $380.19 Median $389.05 Typical High $501.19 | Professional | 55 · Aftercare only | $380.19 | $389.05 | $501.19 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $251.19 Median $257.04 Typical High $331.13 | Professional | 56 · Pre-op care only | $251.19 | $257.04 | $331.13 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,778.28 Median $1,819.70 Typical High $2,344.23 | Professional | 78 · Unplanned return to OR | $1,778.28 | $1,819.70 | $2,344.23 |
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· 48th of 51
$2,455
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.