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 $1,000.00 Median $6,456.54 Typical High $15,135.61 | Facility | None | $1,000.00 | $6,456.54 | $15,135.61 |
Aetna Setting Professional Modifier None Typical Low $912.01 Median $954.99 Typical High $1,318.26 | Professional | None | $912.01 | $954.99 | $1,318.26 |
AvMed Setting Facility Modifier None Typical Low $812.83 Median $2,137.96 Typical High $44,668.36 | Facility | None | $812.83 | $2,137.96 | $44,668.36 |
AvMed Setting Professional Modifier None Typical Low $870.96 Median $1,122.02 Typical High $1,318.26 | Professional | None | $870.96 | $1,122.02 | $1,318.26 |
Cigna Setting Facility Modifier None Typical Low $9,772.37 Median $19,952.62 Typical High $47,863.01 | Facility | None | $9,772.37 | $19,952.62 | $47,863.01 |
Cigna Setting Professional Modifier None Typical Low $812.83 Median $1,174.90 Typical High $2,238.72 | Professional | None | $812.83 | $1,174.90 | $2,238.72 |
Florida Blue Setting Facility Modifier None Typical Low $13,803.84 Median $22,908.68 Typical High $41,686.94 | Facility | None | $13,803.84 | $22,908.68 | $41,686.94 |
Florida Blue Setting Professional Modifier None Typical Low $724.44 Median $758.58 Typical High $1,122.02 | Professional | None | $724.44 | $758.58 | $1,122.02 |
Molina Setting Professional Modifier None Typical Low $81.28 Median $933.25 Typical High $1,318.26 | Professional | None | $81.28 | $933.25 | $1,318.26 |
United Setting Facility Modifier None Typical Low $1,584.89 Median $4,073.80 Typical High $16,218.10 | Facility | None | $1,584.89 | $4,073.80 | $16,218.10 |
United Setting Professional Modifier None Typical Low $54.95 Median $1,258.93 Typical High $2,818.38 | Professional | None | $54.95 | $1,258.93 | $2,818.38 |
Wellpoint Setting Professional Modifier None Typical Low $758.58 Median $758.58 Typical High $1,071.52 | Professional | None | $758.58 | $758.58 | $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 $446.68 Median $478.63 Typical High $602.56 | Professional | 52 · Reduced service | $446.68 | $478.63 | $602.56 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $181.97 Median $190.55 Typical High $239.88 | Professional | 53 · Discontinued | $181.97 | $190.55 | $239.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $676.08 Median $707.95 Typical High $912.01 | Professional | 54 · Surgery only | $676.08 | $707.95 | $912.01 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $134.90 Median $144.54 Typical High $181.97 | Professional | 55 · Aftercare only | $134.90 | $144.54 | $181.97 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $91.20 Median $95.50 Typical High $120.23 | Professional | 56 · Pre-op care only | $91.20 | $95.50 | $120.23 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $630.96 Median $660.69 Typical High $851.14 | Professional | 78 · Unplanned return to OR | $630.96 | $660.69 | $851.14 |
Where Florida sits
The same service costs 8.9 times more in Oklahoma 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· 47th of 51
$1,148
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.