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 $3,890.45 Typical High $12,022.64 | Facility | None | $776.25 | $3,890.45 | $12,022.64 |
Aetna Setting Professional Modifier None Typical Low $645.65 Median $831.76 Typical High $1,230.27 | Professional | None | $645.65 | $831.76 | $1,230.27 |
AvMed Setting Facility Modifier None Typical Low $933.25 Median $2,137.96 Typical High $11,748.98 | Facility | None | $933.25 | $2,137.96 | $11,748.98 |
AvMed Setting Professional Modifier None Typical Low $812.83 Median $1,148.15 Typical High $1,412.54 | Professional | None | $812.83 | $1,148.15 | $1,412.54 |
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 $776.25 Median $891.25 Typical High $1,621.81 | Professional | None | $776.25 | $891.25 | $1,621.81 |
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 $316.23 Median $831.76 Typical High $1,258.93 | Professional | None | $316.23 | $831.76 | $1,258.93 |
Molina Setting Professional Modifier None Typical Low $138.04 Median $794.33 Typical High $1,348.96 | Professional | None | $138.04 | $794.33 | $1,348.96 |
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 $588.84 Median $891.25 Typical High $1,862.09 | Professional | None | $588.84 | $891.25 | $1,862.09 |
Wellpoint Setting Professional Modifier None Typical Low $562.34 Median $562.34 Typical High $1,174.90 | Professional | None | $562.34 | $562.34 | $1,174.90 |
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 $323.59 Median $416.87 Typical High $616.60 | Professional | 52 · Reduced service | $323.59 | $416.87 | $616.60 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $128.82 Median $165.96 Typical High $245.47 | Professional | 53 · Discontinued | $128.82 | $165.96 | $245.47 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $478.63 Median $630.96 Typical High $912.01 | Professional | 54 · Surgery only | $478.63 | $630.96 | $912.01 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $95.50 Median $125.89 Typical High $181.97 | Professional | 55 · Aftercare only | $95.50 | $125.89 | $181.97 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $64.57 Median $83.18 Typical High $123.03 | Professional | 56 · Pre-op care only | $64.57 | $83.18 | $123.03 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $446.68 Median $588.84 Typical High $851.14 | Professional | 78 · Unplanned return to OR | $446.68 | $588.84 | $851.14 |
Where Florida sits
The same service costs 21.9 times more in Alaska 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· 49th of 51
$871
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.