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 $776.25 Median $4,786.30 Typical High $11,748.98 | Facility | None | $776.25 | $4,786.30 | $11,748.98 |
Aetna Setting Professional Modifier None Typical Low $891.25 Median $891.25 Typical High $1,202.26 | Professional | None | $891.25 | $891.25 | $1,202.26 |
AvMed Setting Facility Modifier None Typical Low $741.31 Median $2,137.96 Typical High $9,772.37 | Facility | None | $741.31 | $2,137.96 | $9,772.37 |
AvMed Setting Professional Modifier None Typical Low $776.25 Median $1,023.29 Typical High $1,122.02 | Professional | None | $776.25 | $1,023.29 | $1,122.02 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $2,691.53 Typical High $4,786.30 | Facility | None | $501.19 | $2,691.53 | $4,786.30 |
Cigna Setting Professional Modifier None Typical Low $707.95 Median $1,023.29 Typical High $1,949.84 | Professional | None | $707.95 | $1,023.29 | $1,949.84 |
Florida Blue Setting Facility Modifier None Typical Low $1,318.26 Median $2,630.27 Typical High $16,982.44 | Facility | None | $1,318.26 | $2,630.27 | $16,982.44 |
Florida Blue Setting Professional Modifier None Typical Low $660.69 Median $707.95 Typical High $1,202.26 | Professional | None | $660.69 | $707.95 | $1,202.26 |
Molina Setting Professional Modifier None Typical Low $104.71 Median $831.76 Typical High $1,659.59 | Professional | None | $104.71 | $831.76 | $1,659.59 |
United Setting Facility Modifier None Typical Low $954.99 Median $2,344.23 Typical High $10,000.00 | Facility | None | $954.99 | $2,344.23 | $10,000.00 |
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 $446.68 Typical High $602.56 | Professional | 52 · Reduced service | $446.68 | $446.68 | $602.56 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $177.83 Median $177.83 Typical High $239.88 | Professional | 53 · Discontinued | $177.83 | $177.83 | $239.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $660.69 Median $660.69 Typical High $891.25 | Professional | 54 · Surgery only | $660.69 | $660.69 | $891.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $131.83 Median $134.90 Typical High $177.83 | Professional | 55 · Aftercare only | $131.83 | $134.90 | $177.83 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $89.13 Median $89.13 Typical High $120.23 | Professional | 56 · Pre-op care only | $89.13 | $89.13 | $120.23 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $616.60 Median $616.60 Typical High $831.76 | Professional | 78 · Unplanned return to OR | $616.60 | $616.60 | $831.76 |
Where Florida sits
The same service costs 5.6 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
$1,072
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.