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 $407.38 Median $3,090.30 Typical High $11,481.54 | Facility | None | $407.38 | $3,090.30 | $11,481.54 |
Aetna Setting Professional Modifier None Typical Low $323.59 Median $389.05 Typical High $489.78 | Professional | None | $323.59 | $389.05 | $489.78 |
AvMed Setting Facility Modifier None Typical Low $363.08 Median $1,445.44 Typical High $9,549.93 | Facility | None | $363.08 | $1,445.44 | $9,549.93 |
AvMed Setting Professional Modifier None Typical Low $338.84 Median $398.11 Typical High $467.74 | Professional | None | $338.84 | $398.11 | $467.74 |
Cigna Setting Facility Modifier None Typical Low $323.59 Median $1,621.81 Typical High $2,754.23 | Facility | None | $323.59 | $1,621.81 | $2,754.23 |
Cigna Setting Professional Modifier None Typical Low $316.23 Median $338.84 Typical High $588.84 | Professional | None | $316.23 | $338.84 | $588.84 |
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 $186.21 Median $302.00 Typical High $489.78 | Professional | None | $186.21 | $302.00 | $489.78 |
Molina Setting Professional Modifier None Typical Low $27.54 Median $302.00 Typical High $741.31 | Professional | None | $27.54 | $302.00 | $741.31 |
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 $288.40 Median $371.54 Typical High $630.96 | Professional | None | $288.40 | $371.54 | $630.96 |
Wellpoint Setting Professional Modifier None Typical Low $338.84 Median $338.84 Typical High $338.84 | Professional | None | $338.84 | $338.84 | $338.84 |
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 $162.18 Median $194.98 Typical High $245.47 | Professional | 52 · Reduced service | $162.18 | $194.98 | $245.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $64.57 Median $77.62 Typical High $97.72 | Professional | 53 · Discontinued | $64.57 | $77.62 | $97.72 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $245.47 Median $295.12 Typical High $363.08 | Professional | 54 · Surgery only | $245.47 | $295.12 | $363.08 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $48.98 Median $58.88 Typical High $72.44 | Professional | 55 · Aftercare only | $48.98 | $58.88 | $72.44 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $32.36 Median $38.90 Typical High $48.98 | Professional | 56 · Pre-op care only | $32.36 | $38.90 | $48.98 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $229.09 Median $275.42 Typical High $338.84 | Professional | 78 · Unplanned return to OR | $229.09 | $275.42 | $338.84 |
Where Florida sits
The same service costs 6.2 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
$339
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.