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 $4,073.80 Typical High $11,481.54 | Facility | None | $707.95 | $4,073.80 | $11,481.54 |
Aetna Setting Professional Modifier None Typical Low $977.24 Median $1,047.13 Typical High $1,318.26 | Professional | None | $977.24 | $1,047.13 | $1,318.26 |
AvMed Setting Facility Modifier None Typical Low $512.86 Median $1,584.89 Typical High $9,549.93 | Facility | None | $512.86 | $1,584.89 | $9,549.93 |
AvMed Setting Professional Modifier None Typical Low $891.25 Median $1,174.90 Typical High $1,348.96 | Professional | None | $891.25 | $1,174.90 | $1,348.96 |
Cigna Setting Facility Modifier None Typical Low $436.52 Median $1,122.02 Typical High $2,187.76 | Facility | None | $436.52 | $1,122.02 | $2,187.76 |
Cigna Setting Professional Modifier None Typical Low $851.14 Median $912.01 Typical High $1,862.09 | Professional | None | $851.14 | $912.01 | $1,862.09 |
Florida Blue Setting Facility Modifier None Typical Low $1,230.27 Median $2,691.53 Typical High $7,413.10 | Facility | None | $1,230.27 | $2,691.53 | $7,413.10 |
Florida Blue Setting Professional Modifier None Typical Low $501.19 Median $1,047.13 Typical High $1,230.27 | Professional | None | $501.19 | $1,047.13 | $1,230.27 |
Molina Setting Professional Modifier None Typical Low $87.10 Median $851.14 Typical High $1,412.54 | Professional | None | $87.10 | $851.14 | $1,412.54 |
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 $794.33 Median $1,023.29 Typical High $1,995.26 | Professional | None | $794.33 | $1,023.29 | $1,995.26 |
Wellpoint Setting Professional Modifier None Typical Low $831.76 Median $831.76 Typical High $1,122.02 | Professional | None | $831.76 | $831.76 | $1,122.02 |
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 $489.78 Median $524.81 Typical High $660.69 | Professional | 52 · Reduced service | $489.78 | $524.81 | $660.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $194.98 Median $208.93 Typical High $269.15 | Professional | 53 · Discontinued | $194.98 | $208.93 | $269.15 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $741.31 Median $794.33 Typical High $1,000.00 | Professional | 54 · Surgery only | $741.31 | $794.33 | $1,000.00 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $147.91 Median $158.49 Typical High $199.53 | Professional | 55 · Aftercare only | $147.91 | $158.49 | $199.53 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $97.72 Median $104.71 Typical High $131.83 | Professional | 56 · Pre-op care only | $97.72 | $104.71 | $131.83 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $691.83 Median $741.31 Typical High $933.25 | Professional | 78 · Unplanned return to OR | $691.83 | $741.31 | $933.25 |
Where Florida sits
The same service costs 6.2 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
$1,023
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.