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 $3,090.30 Typical High $10,964.78 | Facility | None | $549.54 | $3,090.30 | $10,964.78 |
Aetna Setting Professional Modifier None Typical Low $199.53 Median $1,202.26 Typical High $1,905.46 | Professional | None | $199.53 | $1,202.26 | $1,905.46 |
AvMed Setting Facility Modifier None Typical Low $630.96 Median $2,137.96 Typical High $11,748.98 | Facility | None | $630.96 | $2,137.96 | $11,748.98 |
AvMed Setting Professional Modifier None Typical Low $213.80 Median $1,819.70 Typical High $2,511.89 | Professional | None | $213.80 | $1,819.70 | $2,511.89 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $1,202.26 Typical High $5,248.07 | Facility | None | $741.31 | $1,202.26 | $5,248.07 |
Cigna Setting Professional Modifier None Typical Low $165.96 Median $1,412.54 Typical High $3,090.30 | Professional | None | $165.96 | $1,412.54 | $3,090.30 |
Florida Blue Setting Facility Modifier None Typical Low $831.76 Median $1,819.70 Typical High $7,413.10 | Facility | None | $831.76 | $1,819.70 | $7,413.10 |
Florida Blue Setting Professional Modifier None Typical Low $1,047.13 Median $1,621.81 Typical High $2,187.76 | Professional | None | $1,047.13 | $1,621.81 | $2,187.76 |
Molina Setting Professional Modifier None Typical Low $165.96 Median $1,862.09 Typical High $3,981.07 | Professional | None | $165.96 | $1,862.09 | $3,981.07 |
United Setting Facility Modifier None Typical Low $398.11 Median $1,000.00 Typical High $5,623.41 | Facility | None | $398.11 | $1,000.00 | $5,623.41 |
United Setting Professional Modifier None Typical Low $208.93 Median $1,122.02 Typical High $3,235.94 | Professional | None | $208.93 | $1,122.02 | $3,235.94 |
Wellpoint Setting Professional Modifier None Typical Low $199.53 Median $2,398.83 Typical High $2,398.83 | Professional | None | $199.53 | $2,398.83 | $2,398.83 |
2 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 $151.36 Median $457.09 Typical High $1,318.26 | Professional | 54 · Surgery only | $151.36 | $457.09 | $1,318.26 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $141.25 Median $426.58 Typical High $1,230.27 | Professional | 78 · Unplanned return to OR | $141.25 | $426.58 | $1,230.27 |
Where Florida sits
The same service costs 7.1 times more in Oregon 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· 24th of 51
$1,622
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.