How much rates vary
Facilitymedian $3,311 · 10th to 90th $1,445 to $13,490Professionalmedian $631 · 10th to 90th $85 to $1,175
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 $741.31 Median $6,025.60 Typical High $12,882.50 | Facility | None | $741.31 | $6,025.60 | $12,882.50 |
Aetna Setting Professional Modifier None Typical Low $660.69 Median $741.31 Typical High $851.14 | Professional | None | $660.69 | $741.31 | $851.14 |
AvMed Setting Facility Modifier None Typical Low $616.60 Median $2,818.38 Typical High $11,748.98 | Facility | None | $616.60 | $2,818.38 | $11,748.98 |
AvMed Setting Professional Modifier None Typical Low $588.84 Median $741.31 Typical High $891.25 | Professional | None | $588.84 | $741.31 | $891.25 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $2,951.21 Typical High $5,370.32 | Facility | None | $501.19 | $2,951.21 | $5,370.32 |
Cigna Setting Professional Modifier None Typical Low $575.44 Median $602.56 Typical High $1,096.48 | Professional | None | $575.44 | $602.56 | $1,096.48 |
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 $380.19 Median $794.33 Typical High $933.25 | Professional | None | $380.19 | $794.33 | $933.25 |
Molina Setting Professional Modifier None Typical Low $54.95 Median $575.44 Typical High $1,318.26 | Professional | None | $54.95 | $575.44 | $1,318.26 |
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 $549.54 Median $707.95 Typical High $1,174.90 | Professional | None | $549.54 | $707.95 | $1,174.90 |
Wellpoint Setting Professional Modifier None Typical Low $549.54 Median $549.54 Typical High $549.54 | Professional | None | $549.54 | $549.54 | $549.54 |
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 $331.13 Median $371.54 Typical High $426.58 | Professional | 52 · Reduced service | $331.13 | $371.54 | $426.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $131.83 Median $147.91 Typical High $169.82 | Professional | 53 · Discontinued | $131.83 | $147.91 | $169.82 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $489.78 Median $562.34 Typical High $630.96 | Professional | 54 · Surgery only | $489.78 | $562.34 | $630.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $100.00 Median $112.20 Typical High $125.89 | Professional | 55 · Aftercare only | $100.00 | $112.20 | $125.89 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $66.07 Median $74.13 Typical High $85.11 | Professional | 56 · Pre-op care only | $66.07 | $74.13 | $85.11 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $457.09 Median $524.81 Typical High $588.84 | Professional | 78 · Unplanned return to OR | $457.09 | $524.81 | $588.84 |
Where Florida sits
The same service costs 4.8 times more in Alaska than in Kentucky. 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
AK $9,771KY $2,053
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.