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 $776.25 Median $6,918.31 Typical High $13,803.84 | Facility | None | $776.25 | $6,918.31 | $13,803.84 |
Aetna Setting Professional Modifier None Typical Low $630.96 Median $741.31 Typical High $831.76 | Professional | None | $630.96 | $741.31 | $831.76 |
AvMed Setting Facility Modifier None Typical Low $660.69 Median $2,884.03 Typical High $12,882.50 | Facility | None | $660.69 | $2,884.03 | $12,882.50 |
AvMed Setting Professional Modifier None Typical Low $616.60 Median $758.58 Typical High $912.01 | Professional | None | $616.60 | $758.58 | $912.01 |
Cigna Setting Facility Modifier None Typical Low $724.44 Median $3,630.78 Typical High $11,481.54 | Facility | None | $724.44 | $3,630.78 | $11,481.54 |
Cigna Setting Professional Modifier None Typical Low $562.34 Median $602.56 Typical High $1,071.52 | Professional | None | $562.34 | $602.56 | $1,071.52 |
Florida Blue Setting Facility Modifier None Typical Low $2,630.27 Median $5,495.41 Typical High $16,982.44 | Facility | None | $2,630.27 | $5,495.41 | $16,982.44 |
Florida Blue Setting Professional Modifier None Typical Low $363.08 Median $758.58 Typical High $891.25 | Professional | None | $363.08 | $758.58 | $891.25 |
Molina Setting Professional Modifier None Typical Low $60.26 Median $501.19 Typical High $1,174.90 | Professional | None | $60.26 | $501.19 | $1,174.90 |
United Setting Facility Modifier None Typical Low $1,584.89 Median $4,073.80 Typical High $15,488.17 | Facility | None | $1,584.89 | $4,073.80 | $15,488.17 |
United Setting Professional Modifier None Typical Low $537.03 Median $691.83 Typical High $1,148.15 | Professional | None | $537.03 | $691.83 | $1,148.15 |
Wellpoint Setting Professional Modifier None Typical Low $575.44 Median $575.44 Typical High $575.44 | Professional | None | $575.44 | $575.44 | $575.44 |
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 $316.23 Median $371.54 Typical High $416.87 | Professional | 52 · Reduced service | $316.23 | $371.54 | $416.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $125.89 Median $147.91 Typical High $165.96 | Professional | 53 · Discontinued | $125.89 | $147.91 | $165.96 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $467.74 Median $562.34 Typical High $616.60 | Professional | 54 · Surgery only | $467.74 | $562.34 | $616.60 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $93.33 Median $112.20 Typical High $125.89 | Professional | 55 · Aftercare only | $93.33 | $112.20 | $125.89 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $63.10 Median $74.13 Typical High $83.18 | Professional | 56 · Pre-op care only | $63.10 | $74.13 | $83.18 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $436.52 Median $524.81 Typical High $575.44 | Professional | 78 · Unplanned return to OR | $436.52 | $524.81 | $575.44 |
Where Florida sits
The same service costs 25.1 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
$617
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.