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 $812.83 Median $6,025.60 Typical High $12,882.50 | Facility | None | $812.83 | $6,025.60 | $12,882.50 |
Aetna Setting Professional Modifier None Typical Low $724.44 Median $812.83 Typical High $1,047.13 | Professional | None | $724.44 | $812.83 | $1,047.13 |
AvMed Setting Facility Modifier None Typical Low $794.33 Median $2,818.38 Typical High $11,748.98 | Facility | None | $794.33 | $2,818.38 | $11,748.98 |
AvMed Setting Professional Modifier None Typical Low $776.25 Median $933.25 Typical High $1,071.52 | Professional | None | $776.25 | $933.25 | $1,071.52 |
Cigna Setting Facility Modifier None Typical Low $691.83 Median $3,311.31 Typical High $5,370.32 | Facility | None | $691.83 | $3,311.31 | $5,370.32 |
Cigna Setting Professional Modifier None Typical Low $691.83 Median $741.31 Typical High $1,288.25 | Professional | None | $691.83 | $741.31 | $1,288.25 |
Florida Blue Setting Facility Modifier None Typical Low $1,737.80 Median $3,548.13 Typical High $16,982.44 | Facility | None | $1,737.80 | $3,548.13 | $16,982.44 |
Florida Blue Setting Professional Modifier None Typical Low $416.87 Median $741.31 Typical High $1,122.02 | Professional | None | $416.87 | $741.31 | $1,122.02 |
Molina Setting Professional Modifier None Typical Low $83.18 Median $776.25 Typical High $1,819.70 | Professional | None | $83.18 | $776.25 | $1,819.70 |
United Setting Facility Modifier None Typical Low $1,230.27 Median $3,311.31 Typical High $12,589.25 | Facility | None | $1,230.27 | $3,311.31 | $12,589.25 |
United Setting Professional Modifier None Typical Low $660.69 Median $851.14 Typical High $1,412.54 | Professional | None | $660.69 | $851.14 | $1,412.54 |
Wellpoint Setting Professional Modifier None Typical Low $758.58 Median $758.58 Typical High $758.58 | Professional | None | $758.58 | $758.58 | $758.58 |
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 $363.08 Median $407.38 Typical High $512.86 | Professional | 52 · Reduced service | $363.08 | $407.38 | $512.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $144.54 Median $162.18 Typical High $208.93 | Professional | 53 · Discontinued | $144.54 | $162.18 | $208.93 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $549.54 Median $602.56 Typical High $776.25 | Professional | 54 · Surgery only | $549.54 | $602.56 | $776.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $109.65 Median $120.23 Typical High $154.88 | Professional | 55 · Aftercare only | $109.65 | $120.23 | $154.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $72.44 Median $81.28 Typical High $104.71 | Professional | 56 · Pre-op care only | $72.44 | $81.28 | $104.71 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $512.86 Median $562.34 Typical High $724.44 | Professional | 78 · Unplanned return to OR | $512.86 | $562.34 | $724.44 |
Where Florida sits
The same service costs 5.8 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
$813
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.