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 $478.63 Median $3,090.30 Typical High $10,964.78 | Facility | None | $478.63 | $3,090.30 | $10,964.78 |
Aetna Setting Professional Modifier None Typical Low $288.40 Median $389.05 Typical High $489.78 | Professional | None | $288.40 | $389.05 | $489.78 |
AvMed Setting Facility Modifier None Typical Low $446.68 Median $1,479.11 Typical High $9,549.93 | Facility | None | $446.68 | $1,479.11 | $9,549.93 |
AvMed Setting Professional Modifier None Typical Low $346.74 Median $436.52 Typical High $575.44 | Professional | None | $346.74 | $436.52 | $575.44 |
Cigna Setting Facility Modifier None Typical Low $436.52 Median $1,698.24 Typical High $2,754.23 | Facility | None | $436.52 | $1,698.24 | $2,754.23 |
Cigna Setting Professional Modifier None Typical Low $275.42 Median $389.05 Typical High $616.60 | Professional | None | $275.42 | $389.05 | $616.60 |
Florida Blue Setting Facility Modifier None Typical Low $660.69 Median $1,318.26 Typical High $16,982.44 | Facility | None | $660.69 | $1,318.26 | $16,982.44 |
Florida Blue Setting Professional Modifier None Typical Low $363.08 Median $389.05 Typical High $588.84 | Professional | None | $363.08 | $389.05 | $588.84 |
Molina Setting Professional Modifier None Typical Low $34.67 Median $457.09 Typical High $676.08 | Professional | None | $34.67 | $457.09 | $676.08 |
United Setting Facility Modifier None Typical Low $398.11 Median $1,000.00 Typical High $5,623.41 | Facility | None | $398.11 | $1,000.00 | $5,623.41 |
United Setting Professional Modifier None Typical Low $239.88 Median $371.54 Typical High $676.08 | Professional | None | $239.88 | $371.54 | $676.08 |
Wellpoint Setting Professional Modifier None Typical Low $257.04 Median $407.38 Typical High $407.38 | Professional | None | $257.04 | $407.38 | $407.38 |
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 $144.54 Median $194.98 Typical High $234.42 | Professional | 52 · Reduced service | $144.54 | $194.98 | $234.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $57.54 Median $77.62 Typical High $93.33 | Professional | 53 · Discontinued | $57.54 | $77.62 | $93.33 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $218.78 Median $288.40 Typical High $346.74 | Professional | 54 · Surgery only | $218.78 | $288.40 | $346.74 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $43.65 Median $57.54 Typical High $69.18 | Professional | 55 · Aftercare only | $43.65 | $57.54 | $69.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $28.84 Median $38.90 Typical High $46.77 | Professional | 56 · Pre-op care only | $28.84 | $38.90 | $46.77 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $204.17 Median $269.15 Typical High $323.59 | Professional | 78 · Unplanned return to OR | $204.17 | $269.15 | $323.59 |
Where Florida sits
The same service costs 4.4 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· 45th of 51
$479
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.