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 $707.95 Median $3,890.45 Typical High $12,022.64 | Facility | None | $707.95 | $3,890.45 | $12,022.64 |
Aetna Setting Professional Modifier None Typical Low $691.83 Median $741.31 Typical High $912.01 | Professional | None | $691.83 | $741.31 | $912.01 |
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 $645.65 Median $812.83 Typical High $977.24 | Professional | None | $645.65 | $812.83 | $977.24 |
Cigna Setting Facility Modifier None Typical Low $398.11 Median $501.19 Typical High $2,691.53 | Facility | None | $398.11 | $501.19 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $602.56 Median $831.76 Typical High $1,584.89 | Professional | None | $602.56 | $831.76 | $1,584.89 |
Florida Blue Setting Facility Modifier None Typical Low $10,471.29 Median $22,387.21 Typical High $33,884.42 | Facility | None | $10,471.29 | $22,387.21 | $33,884.42 |
Florida Blue Setting Professional Modifier None Typical Low $537.03 Median $575.44 Typical High $851.14 | Professional | None | $537.03 | $575.44 | $851.14 |
Molina Setting Professional Modifier None Typical Low $104.71 Median $630.96 Typical High $1,288.25 | Professional | None | $104.71 | $630.96 | $1,288.25 |
United Setting Facility Modifier None Typical Low $371.54 Median $954.99 Typical High $7,585.78 | Facility | None | $371.54 | $954.99 | $7,585.78 |
United Setting Professional Modifier None Typical Low $60.26 Median $933.25 Typical High $1,778.28 | Professional | None | $60.26 | $933.25 | $1,778.28 |
Wellpoint Setting Professional Modifier None Typical Low $575.44 Median $575.44 Typical High $776.25 | Professional | None | $575.44 | $575.44 | $776.25 |
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 $346.74 Median $363.08 Typical High $446.68 | Professional | 52 · Reduced service | $346.74 | $363.08 | $446.68 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $138.04 Median $147.91 Typical High $177.83 | Professional | 53 · Discontinued | $138.04 | $147.91 | $177.83 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $524.81 Median $549.54 Typical High $676.08 | Professional | 54 · Surgery only | $524.81 | $549.54 | $676.08 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $104.71 Median $109.65 Typical High $134.90 | Professional | 55 · Aftercare only | $104.71 | $109.65 | $134.90 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $69.18 Median $74.13 Typical High $89.13 | Professional | 56 · Pre-op care only | $69.18 | $74.13 | $89.13 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $489.78 Median $512.86 Typical High $630.96 | Professional | 78 · Unplanned return to OR | $489.78 | $512.86 | $630.96 |
Where Florida sits
The same service costs 6.3 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· 49th of 51
$741
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.