How much rates vary
Facilitymedian $12,023 · 10th to 90th $501 to $30,200Professionalmedian $1,047 · 10th to 90th $741 to $1,905
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 $1,096.48 Median $7,762.47 Typical High $15,848.93 | Facility | None | $1,096.48 | $7,762.47 | $15,848.93 |
Aetna Setting Professional Modifier None Typical Low $870.96 Median $1,096.48 Typical High $1,288.25 | Professional | None | $870.96 | $1,096.48 | $1,288.25 |
Ambetter Setting Professional Modifier None Typical Low $1,621.81 Median $1,621.81 Typical High $1,621.81 | Professional | None | $1,621.81 | $1,621.81 | $1,621.81 |
AvMed Setting Facility Modifier None Typical Low $562.34 Median $2,137.96 Typical High $2,511.89 | Facility | None | $562.34 | $2,137.96 | $2,511.89 |
AvMed Setting Professional Modifier None Typical Low $741.31 Median $933.25 Typical High $1,148.15 | Professional | None | $741.31 | $933.25 | $1,148.15 |
Cigna Setting Facility Modifier None Typical Low $398.11 Median $501.19 Typical High $25,703.96 | Facility | None | $398.11 | $501.19 | $25,703.96 |
Cigna Setting Professional Modifier None Typical Low $741.31 Median $1,174.90 Typical High $2,137.96 | Professional | None | $741.31 | $1,174.90 | $2,137.96 |
Florida Blue Setting Facility Modifier None Typical Low $19,498.45 Median $23,442.29 Typical High $23,442.29 | Facility | None | $19,498.45 | $23,442.29 | $23,442.29 |
Florida Blue Setting Professional Modifier None Typical Low $660.69 Median $676.08 Typical High $1,348.96 | Professional | None | $660.69 | $676.08 | $1,348.96 |
Molina Setting Professional Modifier None Typical Low $741.31 Median $1,000.00 Typical High $1,348.96 | Professional | None | $741.31 | $1,000.00 | $1,348.96 |
United Setting Facility Modifier None Typical Low $3,630.78 Median $17,782.79 Typical High $35,481.34 | Facility | None | $3,630.78 | $17,782.79 | $35,481.34 |
United Setting Professional Modifier None Typical Low $933.25 Median $1,445.44 Typical High $3,090.30 | Professional | None | $933.25 | $1,445.44 | $3,090.30 |
Wellpoint Setting Professional Modifier None Typical Low $724.44 Median $724.44 Typical High $954.99 | Professional | None | $724.44 | $724.44 | $954.99 |
5 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 $436.52 Median $549.54 Typical High $602.56 | Professional | 52 · Reduced service | $436.52 | $549.54 | $602.56 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $173.78 Median $218.78 Typical High $239.88 | Professional | 53 · Discontinued | $173.78 | $218.78 | $239.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $645.65 Median $812.83 Typical High $912.01 | Professional | 54 · Surgery only | $645.65 | $812.83 | $912.01 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $128.82 Median $162.18 Typical High $181.97 | Professional | 55 · Aftercare only | $128.82 | $162.18 | $181.97 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $87.10 Median $104.71 Typical High $120.23 | Professional | 56 · Pre-op care only | $87.10 | $104.71 | $120.23 |
Where Florida sits
The same service costs 8.1 times more in Indiana than in Kentucky. 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.
Physician feeFacility fee
IN $23,026KY $2,834
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.