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 $549.54 Median $4,073.80 Typical High $11,481.54 | Facility | None | $549.54 | $4,073.80 | $11,481.54 |
Aetna Setting Professional Modifier None Typical Low $354.81 Median $380.19 Typical High $467.74 | Professional | None | $354.81 | $380.19 | $467.74 |
AvMed Setting Facility Modifier None Typical Low $446.68 Median $1,698.24 Typical High $9,549.93 | Facility | None | $446.68 | $1,698.24 | $9,549.93 |
AvMed Setting Professional Modifier None Typical Low $316.23 Median $407.38 Typical High $478.63 | Professional | None | $316.23 | $407.38 | $478.63 |
Cigna Setting Facility Modifier None Typical Low $436.52 Median $1,949.84 Typical High $3,019.95 | Facility | None | $436.52 | $1,949.84 | $3,019.95 |
Cigna Setting Professional Modifier None Typical Low $281.84 Median $398.11 Typical High $776.25 | Professional | None | $281.84 | $398.11 | $776.25 |
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 $263.03 Median $281.84 Typical High $457.09 | Professional | None | $263.03 | $281.84 | $457.09 |
Molina Setting Professional Modifier None Typical Low $69.18 Median $363.08 Typical High $707.95 | Professional | None | $69.18 | $363.08 | $707.95 |
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 $436.52 Typical High $870.96 | Professional | None | $60.26 | $436.52 | $870.96 |
Wellpoint Setting Professional Modifier None Typical Low $288.40 Median $288.40 Typical High $371.54 | Professional | None | $288.40 | $288.40 | $371.54 |
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 $177.83 Median $190.55 Typical High $234.42 | Professional | 52 · Reduced service | $177.83 | $190.55 | $234.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $70.79 Median $75.86 Typical High $93.33 | Professional | 53 · Discontinued | $70.79 | $75.86 | $93.33 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $263.03 Median $281.84 Typical High $346.74 | Professional | 54 · Surgery only | $263.03 | $281.84 | $346.74 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $52.48 Median $56.23 Typical High $69.18 | Professional | 55 · Aftercare only | $52.48 | $56.23 | $69.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $35.48 Median $38.02 Typical High $46.77 | Professional | 56 · Pre-op care only | $35.48 | $38.02 | $46.77 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $245.47 Median $263.03 Typical High $323.59 | Professional | 78 · Unplanned return to OR | $245.47 | $263.03 | $323.59 |
Where Florida sits
The same service costs 6.2 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· 41st of 51
$501
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.