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 $630.96 Median $4,365.16 Typical High $11,748.98 | Facility | None | $630.96 | $4,365.16 | $11,748.98 |
Aetna Setting Professional Modifier None Typical Low $295.12 Median $851.14 Typical High $1,548.82 | Professional | None | $295.12 | $851.14 | $1,548.82 |
AvMed Setting Facility Modifier None Typical Low $562.34 Median $1,949.84 Typical High $9,772.37 | Facility | None | $562.34 | $1,949.84 | $9,772.37 |
AvMed Setting Professional Modifier None Typical Low $380.19 Median $1,071.52 Typical High $1,412.54 | Professional | None | $380.19 | $1,071.52 | $1,412.54 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $1,949.84 Typical High $17,378.01 | Facility | None | $512.86 | $1,949.84 | $17,378.01 |
Cigna Setting Professional Modifier None Typical Low $302.00 Median $851.14 Typical High $1,949.84 | Professional | None | $302.00 | $851.14 | $1,949.84 |
Florida Blue Setting Facility Modifier None Typical Low $1,230.27 Median $2,691.53 Typical High $11,748.98 | Facility | None | $1,230.27 | $2,691.53 | $11,748.98 |
Florida Blue Setting Professional Modifier None Typical Low $933.25 Median $977.24 Typical High $1,380.38 | Professional | None | $933.25 | $977.24 | $1,380.38 |
Molina Setting Professional Modifier None Typical Low $138.04 Median $1,148.15 Typical High $1,737.80 | Professional | None | $138.04 | $1,148.15 | $1,737.80 |
United Setting Facility Modifier None Typical Low $954.99 Median $2,344.23 Typical High $11,220.18 | Facility | None | $954.99 | $2,344.23 | $11,220.18 |
United Setting Professional Modifier None Typical Low $288.40 Median $912.01 Typical High $2,290.87 | Professional | None | $288.40 | $912.01 | $2,290.87 |
Wellpoint Setting Professional Modifier None Typical Low $281.84 Median $588.84 Typical High $588.84 | Professional | None | $281.84 | $588.84 | $588.84 |
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 $147.91 Median $426.58 Typical High $724.44 | Professional | 52 · Reduced service | $147.91 | $426.58 | $724.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $58.88 Median $169.82 Typical High $295.12 | Professional | 53 · Discontinued | $58.88 | $169.82 | $295.12 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $218.78 Median $630.96 Typical High $1,096.48 | Professional | 54 · Surgery only | $218.78 | $630.96 | $1,096.48 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $43.65 Median $128.82 Typical High $218.78 | Professional | 55 · Aftercare only | $43.65 | $128.82 | $218.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $29.51 Median $85.11 Typical High $147.91 | Professional | 56 · Pre-op care only | $29.51 | $85.11 | $147.91 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $204.17 Median $588.84 Typical High $1,023.29 | Professional | 78 · Unplanned return to OR | $204.17 | $588.84 | $1,023.29 |
Where Florida sits
The same service costs 4.4 times more in Alaska than in Nebraska. 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· 31st of 51
$1,349
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.