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 $1,862.09 Median $1,905.46 Typical High $2,511.89 | Professional | None | $1,862.09 | $1,905.46 | $2,511.89 |
AvMed Setting Facility Modifier None Typical Low $1,445.44 Median $2,137.96 Typical High $12,882.50 | Facility | None | $1,445.44 | $2,137.96 | $12,882.50 |
AvMed Setting Professional Modifier None Typical Low $1,698.24 Median $2,137.96 Typical High $2,454.71 | Professional | None | $1,698.24 | $2,137.96 | $2,454.71 |
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 $1,479.11 Median $2,238.72 Typical High $4,466.84 | Professional | None | $1,479.11 | $2,238.72 | $4,466.84 |
Florida Blue Setting Facility Modifier None Typical Low $10,000.00 Median $21,877.62 Typical High $33,884.42 | Facility | None | $10,000.00 | $21,877.62 | $33,884.42 |
Florida Blue Setting Professional Modifier None Typical Low $1,412.54 Median $1,513.56 Typical High $2,187.76 | Professional | None | $1,412.54 | $1,513.56 | $2,187.76 |
Molina Setting Professional Modifier None Typical Low $181.97 Median $1,778.28 Typical High $2,570.40 | Professional | None | $181.97 | $1,778.28 | $2,570.40 |
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 $1,698.24 Median $2,630.27 Typical High $5,495.41 | Professional | None | $1,698.24 | $2,630.27 | $5,495.41 |
Wellpoint Setting Professional Modifier None Typical Low $1,479.11 Median $1,479.11 Typical High $2,137.96 | Professional | None | $1,479.11 | $1,479.11 | $2,137.96 |
2 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 54 · Surgery only Typical Low $1,412.54 Median $1,445.44 Typical High $1,862.09 | Professional | 54 · Surgery only | $1,412.54 | $1,445.44 | $1,862.09 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,318.26 Median $1,348.96 Typical High $1,737.80 | Professional | 78 · Unplanned return to OR | $1,318.26 | $1,348.96 | $1,737.80 |
Where Florida sits
The same service costs 5.4 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· 49th of 51
$1,950
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.