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 $1,023.29 Median $6,456.54 Typical High $15,135.61 | Facility | None | $1,023.29 | $6,456.54 | $15,135.61 |
Aetna Setting Professional Modifier None Typical Low $645.65 Median $758.58 Typical High $851.14 | Professional | None | $645.65 | $758.58 | $851.14 |
AvMed Setting Facility Modifier None Typical Low $630.96 Median $2,137.96 Typical High $13,182.57 | Facility | None | $630.96 | $2,137.96 | $13,182.57 |
AvMed Setting Professional Modifier None Typical Low $630.96 Median $776.25 Typical High $912.01 | Professional | None | $630.96 | $776.25 | $912.01 |
Cigna Setting Facility Modifier None Typical Low $398.11 Median $616.60 Typical High $13,489.63 | Facility | None | $398.11 | $616.60 | $13,489.63 |
Cigna Setting Professional Modifier None Typical Low $575.44 Median $616.60 Typical High $1,096.48 | Professional | None | $575.44 | $616.60 | $1,096.48 |
Florida Blue Setting Facility Modifier None Typical Low $10,471.29 Median $22,387.21 Typical High $33,884.42 | Facility | None | $10,471.29 | $22,387.21 | $33,884.42 |
Florida Blue Setting Professional Modifier None Typical Low $371.54 Median $776.25 Typical High $912.01 | Professional | None | $371.54 | $776.25 | $912.01 |
Molina Setting Professional Modifier None Typical Low $54.95 Median $602.56 Typical High $1,380.38 | Professional | None | $54.95 | $602.56 | $1,380.38 |
United Setting Facility Modifier None Typical Low $371.54 Median $954.99 Typical High $7,585.78 | Facility | None | $371.54 | $954.99 | $7,585.78 |
United Setting Professional Modifier None Typical Low $549.54 Median $691.83 Typical High $1,174.90 | Professional | None | $549.54 | $691.83 | $1,174.90 |
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 $323.59 Median $380.19 Typical High $426.58 | Professional | 52 · Reduced service | $323.59 | $380.19 | $426.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $128.82 Median $151.36 Typical High $169.82 | Professional | 53 · Discontinued | $128.82 | $151.36 | $169.82 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $478.63 Median $575.44 Typical High $630.96 | Professional | 54 · Surgery only | $478.63 | $575.44 | $630.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $95.50 Median $114.82 Typical High $125.89 | Professional | 55 · Aftercare only | $95.50 | $114.82 | $125.89 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $64.57 Median $75.86 Typical High $85.11 | Professional | 56 · Pre-op care only | $64.57 | $75.86 | $85.11 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $446.68 Median $537.03 Typical High $588.84 | Professional | 78 · Unplanned return to OR | $446.68 | $537.03 | $588.84 |
Where Florida sits
The same service costs 5.9 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
$661
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.