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 $977.24 Median $6,025.60 Typical High $12,022.64 | Facility | None | $977.24 | $6,025.60 | $12,022.64 |
Aetna Setting Professional Modifier None Typical Low $912.01 Median $977.24 Typical High $1,288.25 | Professional | None | $912.01 | $977.24 | $1,288.25 |
AvMed Setting Facility Modifier None Typical Low $691.83 Median $2,137.96 Typical High $9,772.37 | Facility | None | $691.83 | $2,137.96 | $9,772.37 |
AvMed Setting Professional Modifier None Typical Low $776.25 Median $1,071.52 Typical High $1,230.27 | Professional | None | $776.25 | $1,071.52 | $1,230.27 |
Cigna Setting Facility Modifier None Typical Low $616.60 Median $2,951.21 Typical High $4,897.79 | Facility | None | $616.60 | $2,951.21 | $4,897.79 |
Cigna Setting Professional Modifier None Typical Low $776.25 Median $812.83 Typical High $1,698.24 | Professional | None | $776.25 | $812.83 | $1,698.24 |
Florida Blue Setting Facility Modifier None Typical Low $1,318.26 Median $2,630.27 Typical High $16,982.44 | Facility | None | $1,318.26 | $2,630.27 | $16,982.44 |
Florida Blue Setting Professional Modifier None Typical Low $467.74 Median $933.25 Typical High $1,122.02 | Professional | None | $467.74 | $933.25 | $1,122.02 |
Molina Setting Professional Modifier None Typical Low $87.10 Median $758.58 Typical High $1,230.27 | Professional | None | $87.10 | $758.58 | $1,230.27 |
United Setting Facility Modifier None Typical Low $1,230.27 Median $3,311.31 Typical High $12,589.25 | Facility | None | $1,230.27 | $3,311.31 | $12,589.25 |
United Setting Professional Modifier None Typical Low $724.44 Median $954.99 Typical High $1,819.70 | Professional | None | $724.44 | $954.99 | $1,819.70 |
Wellpoint Setting Professional Modifier None Typical Low $741.31 Median $741.31 Typical High $977.24 | Professional | None | $741.31 | $741.31 | $977.24 |
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 $457.09 Median $489.78 Typical High $616.60 | Professional | 52 · Reduced service | $457.09 | $489.78 | $616.60 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $186.21 Median $194.98 Typical High $251.19 | Professional | 53 · Discontinued | $186.21 | $194.98 | $251.19 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $691.83 Median $741.31 Typical High $933.25 | Professional | 54 · Surgery only | $691.83 | $741.31 | $933.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $138.04 Median $147.91 Typical High $186.21 | Professional | 55 · Aftercare only | $138.04 | $147.91 | $186.21 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $91.20 Median $97.72 Typical High $125.89 | Professional | 56 · Pre-op care only | $91.20 | $97.72 | $125.89 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $645.65 Median $691.83 Typical High $870.96 | Professional | 78 · Unplanned return to OR | $645.65 | $691.83 | $870.96 |
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
$933
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.