How much rates vary
Facilitymedian $2,512 · 10th to 90th $933 to $12,023Professionalmedian $1,000 · 10th to 90th $126 to $1,905
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 $1,000.00 Median $1,096.48 Typical High $1,348.96 | Professional | None | $1,000.00 | $1,096.48 | $1,348.96 |
AvMed Setting Facility Modifier None Typical Low $870.96 Median $2,187.76 Typical High $11,748.98 | Facility | None | $870.96 | $2,187.76 | $11,748.98 |
AvMed Setting Professional Modifier None Typical Low $912.01 Median $1,148.15 Typical High $1,380.38 | Professional | None | $912.01 | $1,148.15 | $1,380.38 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $2,630.27 Typical High $4,073.80 | Facility | None | $501.19 | $2,630.27 | $4,073.80 |
Cigna Setting Professional Modifier None Typical Low $851.14 Median $1,174.90 Typical High $2,238.72 | Professional | None | $851.14 | $1,174.90 | $2,238.72 |
Florida Blue Setting Facility Modifier None Typical Low $1,288.25 Median $2,630.27 Typical High $16,982.44 | Facility | None | $1,288.25 | $2,630.27 | $16,982.44 |
Florida Blue Setting Professional Modifier None Typical Low $758.58 Median $812.83 Typical High $1,202.26 | Professional | None | $758.58 | $812.83 | $1,202.26 |
Molina Setting Professional Modifier None Typical Low $114.82 Median $891.25 Typical High $1,819.70 | Professional | None | $114.82 | $891.25 | $1,819.70 |
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 $1,318.26 Typical High $2,454.71 | Professional | None | $60.26 | $1,318.26 | $2,454.71 |
Wellpoint Setting Professional Modifier None Typical Low $812.83 Median $812.83 Typical High $1,071.52 | Professional | None | $812.83 | $812.83 | $1,071.52 |
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 $501.19 Median $524.81 Typical High $630.96 | Professional | 52 · Reduced service | $501.19 | $524.81 | $630.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $199.53 Median $208.93 Typical High $251.19 | Professional | 53 · Discontinued | $199.53 | $208.93 | $251.19 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $741.31 Median $794.33 Typical High $954.99 | Professional | 54 · Surgery only | $741.31 | $794.33 | $954.99 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $147.91 Median $158.49 Typical High $190.55 | Professional | 55 · Aftercare only | $147.91 | $158.49 | $190.55 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $100.00 Median $104.71 Typical High $125.89 | Professional | 56 · Pre-op care only | $100.00 | $104.71 | $125.89 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $691.83 Median $741.31 Typical High $891.25 | Professional | 78 · Unplanned return to OR | $691.83 | $741.31 | $891.25 |
Where Florida sits
The same service costs 4.4 times more in Alaska than in Kentucky. 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 $10,675KY $2,405
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.