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 $707.95 Median $4,073.80 Typical High $11,481.54 | Facility | None | $707.95 | $4,073.80 | $11,481.54 |
Aetna Setting Professional Modifier None Typical Low $891.25 Median $933.25 Typical High $1,202.26 | Professional | None | $891.25 | $933.25 | $1,202.26 |
AvMed Setting Facility Modifier None Typical Low $776.25 Median $2,137.96 Typical High $11,748.98 | Facility | None | $776.25 | $2,137.96 | $11,748.98 |
AvMed Setting Professional Modifier None Typical Low $776.25 Median $1,023.29 Typical High $1,148.15 | Professional | None | $776.25 | $1,023.29 | $1,148.15 |
Cigna Setting Facility Modifier None Typical Low $467.74 Median $1,174.90 Typical High $2,691.53 | Facility | None | $467.74 | $1,174.90 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $724.44 Median $1,023.29 Typical High $1,949.84 | Professional | None | $724.44 | $1,023.29 | $1,949.84 |
Florida Blue Setting Facility Modifier None Typical Low $1,000.00 Median $2,187.76 Typical High $25,118.86 | Facility | None | $1,000.00 | $2,187.76 | $25,118.86 |
Florida Blue Setting Professional Modifier None Typical Low $660.69 Median $707.95 Typical High $1,071.52 | Professional | None | $660.69 | $707.95 | $1,071.52 |
Molina Setting Professional Modifier None Typical Low $72.44 Median $758.58 Typical High $1,621.81 | Professional | None | $72.44 | $758.58 | $1,621.81 |
United Setting Facility Modifier None Typical Low $794.33 Median $1,778.28 Typical High $7,585.78 | Facility | None | $794.33 | $1,778.28 | $7,585.78 |
United Setting Professional Modifier None Typical Low $60.26 Median $1,122.02 Typical High $2,137.96 | Professional | None | $60.26 | $1,122.02 | $2,137.96 |
Wellpoint Setting Professional Modifier None Typical Low $707.95 Median $707.95 Typical High $933.25 | Professional | None | $707.95 | $707.95 | $933.25 |
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 $446.68 Median $467.74 Typical High $588.84 | Professional | 52 · Reduced service | $446.68 | $467.74 | $588.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $177.83 Median $190.55 Typical High $234.42 | Professional | 53 · Discontinued | $177.83 | $190.55 | $234.42 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $660.69 Median $707.95 Typical High $891.25 | Professional | 54 · Surgery only | $660.69 | $707.95 | $891.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $134.90 Median $141.25 Typical High $177.83 | Professional | 55 · Aftercare only | $134.90 | $141.25 | $177.83 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $89.13 Median $93.33 Typical High $117.49 | Professional | 56 · Pre-op care only | $89.13 | $93.33 | $117.49 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $616.60 Median $660.69 Typical High $831.76 | Professional | 78 · Unplanned return to OR | $616.60 | $660.69 | $831.76 |
Where Florida sits
The same service costs 5.9 times more in Alaska 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· 47th of 51
$977
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.