How much rates vary
Facilitymedian $2,818 · 10th to 90th $407 to $25,119Professionalmedian $234 · 10th to 90th $166 to $427
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 $645.65 Median $3,890.45 Typical High $12,022.64 | Facility | None | $645.65 | $3,890.45 | $12,022.64 |
Aetna Setting Professional Modifier None Typical Low $218.78 Median $223.87 Typical High $309.03 | Professional | None | $218.78 | $223.87 | $309.03 |
AvMed Setting Facility Modifier None Typical Low $218.78 Median $2,137.96 Typical High $12,882.50 | Facility | None | $218.78 | $2,137.96 | $12,882.50 |
AvMed Setting Professional Modifier None Typical Low $194.98 Median $257.04 Typical High $302.00 | Professional | None | $194.98 | $257.04 | $302.00 |
Cigna Setting Facility Modifier None Typical Low $457.09 Median $2,137.96 Typical High $2,754.23 | Facility | None | $457.09 | $2,137.96 | $2,754.23 |
Cigna Setting Professional Modifier None Typical Low $173.78 Median $263.03 Typical High $512.86 | Professional | None | $173.78 | $263.03 | $512.86 |
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 $162.18 Median $169.82 Typical High $281.84 | Professional | None | $162.18 | $169.82 | $281.84 |
Molina Setting Professional Modifier None Typical Low $162.18 Median $229.09 Typical High $316.23 | Professional | None | $162.18 | $229.09 | $316.23 |
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 $288.40 Typical High $630.96 | Professional | None | $54.95 | $288.40 | $630.96 |
Wellpoint Setting Professional Modifier None Typical Low $165.96 Median $165.96 Typical High $245.47 | Professional | None | $165.96 | $165.96 | $245.47 |
5 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 $109.65 Median $112.20 Typical High $147.91 | Professional | 52 · Reduced service | $109.65 | $112.20 | $147.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $44.67 Median $44.67 Typical High $58.88 | Professional | 53 · Discontinued | $44.67 | $44.67 | $58.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $165.96 Median $169.82 Typical High $218.78 | Professional | 54 · Surgery only | $165.96 | $169.82 | $218.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $33.11 Median $33.88 Typical High $43.65 | Professional | 55 · Aftercare only | $33.11 | $33.88 | $43.65 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $21.88 Median $22.39 Typical High $29.51 | Professional | 56 · Pre-op care only | $21.88 | $22.39 | $29.51 |
Where Florida sits
The same service costs 37.1 times more in Alabama than in Montana. 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
AL $26,028MT $702
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.