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 $436.52 Median $3,235.94 Typical High $11,481.54 | Facility | None | $436.52 | $3,235.94 | $11,481.54 |
Aetna Setting Professional Modifier None Typical Low $436.52 Median $436.52 Typical High $602.56 | Professional | None | $436.52 | $436.52 | $602.56 |
AvMed Setting Facility Modifier None Typical Low $389.05 Median $1,513.56 Typical High $9,549.93 | Facility | None | $389.05 | $1,513.56 | $9,549.93 |
AvMed Setting Professional Modifier None Typical Low $389.05 Median $512.86 Typical High $562.34 | Professional | None | $389.05 | $512.86 | $562.34 |
Cigna Setting Facility Modifier None Typical Low $323.59 Median $1,659.59 Typical High $3,019.95 | Facility | None | $323.59 | $1,659.59 | $3,019.95 |
Cigna Setting Professional Modifier None Typical Low $354.81 Median $501.19 Typical High $954.99 | Professional | None | $354.81 | $501.19 | $954.99 |
Florida Blue Setting Facility Modifier None Typical Low $977.24 Median $1,949.84 Typical High $16,982.44 | Facility | None | $977.24 | $1,949.84 | $16,982.44 |
Florida Blue Setting Professional Modifier None Typical Low $331.13 Median $354.81 Typical High $575.44 | Professional | None | $331.13 | $354.81 | $575.44 |
Molina Setting Professional Modifier None Typical Low $42.66 Median $426.58 Typical High $851.14 | Professional | None | $42.66 | $426.58 | $851.14 |
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 $549.54 Typical High $1,047.13 | Professional | None | $60.26 | $549.54 | $1,047.13 |
Wellpoint Setting Professional Modifier None Typical Low $457.09 Median $457.09 Typical High $467.74 | Professional | None | $457.09 | $457.09 | $467.74 |
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 $218.78 Median $218.78 Typical High $295.12 | Professional | 52 · Reduced service | $218.78 | $218.78 | $295.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $87.10 Median $87.10 Typical High $117.49 | Professional | 53 · Discontinued | $87.10 | $87.10 | $117.49 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $323.59 Median $331.13 Typical High $446.68 | Professional | 54 · Surgery only | $323.59 | $331.13 | $446.68 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $66.07 Median $66.07 Typical High $89.13 | Professional | 55 · Aftercare only | $66.07 | $66.07 | $89.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $43.65 Median $43.65 Typical High $58.88 | Professional | 56 · Pre-op care only | $43.65 | $43.65 | $58.88 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $302.00 Median $309.03 Typical High $416.87 | Professional | 78 · Unplanned return to OR | $302.00 | $309.03 | $416.87 |
Where Florida sits
The same service costs 5.5 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· 33rd of 51
$692
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.