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 $602.56 Median $6,025.60 Typical High $13,182.57 | Facility | None | $602.56 | $6,025.60 | $13,182.57 |
Aetna Setting Professional Modifier None Typical Low $331.13 Median $380.19 Typical High $489.78 | Professional | None | $331.13 | $380.19 | $489.78 |
Ambetter Setting Professional Modifier None Typical Low $354.81 Median $354.81 Typical High $426.58 | Professional | None | $354.81 | $354.81 | $426.58 |
AvMed Setting Facility Modifier None Typical Low $891.25 Median $6,309.57 Typical High $14,791.08 | Facility | None | $891.25 | $6,309.57 | $14,791.08 |
AvMed Setting Professional Modifier None Typical Low $309.03 Median $389.05 Typical High $457.09 | Professional | None | $309.03 | $389.05 | $457.09 |
Cigna Setting Facility Modifier None Typical Low $3,162.28 Median $11,748.98 Typical High $53,703.18 | Facility | None | $3,162.28 | $11,748.98 | $53,703.18 |
Cigna Setting Professional Modifier None Typical Low $288.40 Median $302.00 Typical High $562.34 | Professional | None | $288.40 | $302.00 | $562.34 |
Florida Blue Setting Facility Modifier None Typical Low $6,309.57 Median $13,489.63 Typical High $23,442.29 | Facility | None | $6,309.57 | $13,489.63 | $23,442.29 |
Florida Blue Setting Professional Modifier None Typical Low $186.21 Median $363.08 Typical High $457.09 | Professional | None | $186.21 | $363.08 | $457.09 |
Molina Setting Professional Modifier None Typical Low $75.86 Median $316.23 Typical High $707.95 | Professional | None | $75.86 | $316.23 | $707.95 |
United Setting Facility Modifier None Typical Low $2,570.40 Median $10,471.29 Typical High $16,595.87 | Facility | None | $2,570.40 | $10,471.29 | $16,595.87 |
United Setting Professional Modifier None Typical Low $281.84 Median $354.81 Typical High $575.44 | Professional | None | $281.84 | $354.81 | $575.44 |
Wellpoint Setting Professional Modifier None Typical Low $281.84 Median $281.84 Typical High $281.84 | Professional | None | $281.84 | $281.84 | $281.84 |
5 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 54 · Surgery only Typical Low $245.47 Median $281.84 Typical High $316.23 | Professional | 54 · Surgery only | $245.47 | $281.84 | $316.23 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $229.09 Median $263.03 Typical High $295.12 | Professional | 78 · Unplanned return to OR | $229.09 | $263.03 | $295.12 |
Ambetter Setting Professional Modifier 80 · Assistant surgeon Typical Low $67.61 Median $67.61 Typical High $67.61 | Professional | 80 · Assistant surgeon | $67.61 | $67.61 | $67.61 |
Ambetter Setting Professional Modifier AS · PA/NP assist Typical Low $47.86 Median $47.86 Typical High $47.86 | Professional | AS · PA/NP assist | $47.86 | $47.86 | $47.86 |
Ambetter Setting Professional Modifier GC · Resident with teaching physician Typical Low $426.58 Median $426.58 Typical High $436.52 | Professional | GC · Resident with teaching physician | $426.58 | $426.58 | $436.52 |
Where Florida sits
The same service costs 4.2 times more in Wyoming than in Utah. 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.