How much rates vary
Facilitymedian $2,188 · 10th to 90th $794 to $11,749Professionalmedian $832 · 10th to 90th $78 to $1,585
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 $812.83 Median $6,025.60 Typical High $12,882.50 | Facility | None | $812.83 | $6,025.60 | $12,882.50 |
Aetna Setting Professional Modifier None Typical Low $812.83 Median $870.96 Typical High $1,096.48 | Professional | None | $812.83 | $870.96 | $1,096.48 |
AvMed Setting Facility Modifier None Typical Low $707.95 Median $2,398.83 Typical High $9,772.37 | Facility | None | $707.95 | $2,398.83 | $9,772.37 |
AvMed Setting Professional Modifier None Typical Low $707.95 Median $954.99 Typical High $1,047.13 | Professional | None | $707.95 | $954.99 | $1,047.13 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $3,019.95 Typical High $4,786.30 | Facility | None | $707.95 | $3,019.95 | $4,786.30 |
Cigna Setting Professional Modifier None Typical Low $660.69 Median $933.25 Typical High $1,778.28 | Professional | None | $660.69 | $933.25 | $1,778.28 |
Florida Blue Setting Facility Modifier None Typical Low $891.25 Median $1,737.80 Typical High $16,982.44 | Facility | None | $891.25 | $1,737.80 | $16,982.44 |
Florida Blue Setting Professional Modifier None Typical Low $602.56 Median $645.65 Typical High $1,000.00 | Professional | None | $602.56 | $645.65 | $1,000.00 |
Molina Setting Professional Modifier None Typical Low $69.18 Median $776.25 Typical High $1,548.82 | Professional | None | $69.18 | $776.25 | $1,548.82 |
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 $1,023.29 Typical High $1,949.84 | Professional | None | $60.26 | $1,023.29 | $1,949.84 |
Wellpoint Setting Professional Modifier None Typical Low $645.65 Median $645.65 Typical High $851.14 | Professional | None | $645.65 | $645.65 | $851.14 |
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 $407.38 Median $426.58 Typical High $537.03 | Professional | 52 · Reduced service | $407.38 | $426.58 | $537.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $162.18 Median $173.78 Typical High $213.80 | Professional | 53 · Discontinued | $162.18 | $173.78 | $213.80 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $616.60 Median $645.65 Typical High $812.83 | Professional | 54 · Surgery only | $616.60 | $645.65 | $812.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $123.03 Median $128.82 Typical High $162.18 | Professional | 55 · Aftercare only | $123.03 | $128.82 | $162.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $81.28 Median $87.10 Typical High $107.15 | Professional | 56 · Pre-op care only | $81.28 | $87.10 | $107.15 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $575.44 Median $602.56 Typical High $758.58 | Professional | 78 · Unplanned return to OR | $575.44 | $602.56 | $758.58 |
Where Florida sits
The same service costs 4.1 times more in Alaska than in Delaware. 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 $9,881DE $2,434
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.