How much rates vary
Facilitymedian $2,188 · 10th to 90th $437 to $24,547Professionalmedian $1,023 · 10th to 90th $78 to $1,622
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 $977.24 Median $1,023.29 Typical High $1,479.11 | Professional | None | $977.24 | $1,023.29 | $1,479.11 |
AvMed Setting Facility Modifier None Typical Low $912.01 Median $2,137.96 Typical High $11,748.98 | Facility | None | $912.01 | $2,137.96 | $11,748.98 |
AvMed Setting Professional Modifier None Typical Low $954.99 Median $1,202.26 Typical High $1,348.96 | Professional | None | $954.99 | $1,202.26 | $1,348.96 |
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 $812.83 Median $1,174.90 Typical High $2,187.76 | Professional | None | $812.83 | $1,174.90 | $2,187.76 |
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 $794.33 Median $831.76 Typical High $1,174.90 | Professional | None | $794.33 | $831.76 | $1,174.90 |
Molina Setting Professional Modifier None Typical Low $70.79 Median $912.01 Typical High $1,445.44 | Professional | None | $70.79 | $912.01 | $1,445.44 |
United Setting Facility Modifier None Typical Low $371.54 Median $851.14 Typical High $7,244.36 | Facility | None | $371.54 | $851.14 | $7,244.36 |
United Setting Professional Modifier None Typical Low $54.95 Median $1,288.25 Typical High $2,884.03 | Professional | None | $54.95 | $1,288.25 | $2,884.03 |
Wellpoint Setting Professional Modifier None Typical Low $831.76 Median $831.76 Typical High $1,174.90 | Professional | None | $831.76 | $831.76 | $1,174.90 |
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 $478.63 Median $512.86 Typical High $676.08 | Professional | 52 · Reduced service | $478.63 | $512.86 | $676.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $194.98 Median $204.17 Typical High $269.15 | Professional | 53 · Discontinued | $194.98 | $204.17 | $269.15 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $724.44 Median $758.58 Typical High $1,023.29 | Professional | 54 · Surgery only | $724.44 | $758.58 | $1,023.29 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $144.54 Median $154.88 Typical High $204.17 | Professional | 55 · Aftercare only | $144.54 | $154.88 | $204.17 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $97.72 Median $102.33 Typical High $134.90 | Professional | 56 · Pre-op care only | $97.72 | $102.33 | $134.90 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $676.08 Median $707.95 Typical High $954.99 | Professional | 78 · Unplanned return to OR | $676.08 | $707.95 | $954.99 |
Where Florida sits
The same service costs 9.9 times more in Alabama than in Maryland. 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 $18,241MD $1,851
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.