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 $724.44 Median $6,918.31 Typical High $14,454.40 | Facility | None | $724.44 | $6,918.31 | $14,454.40 |
Aetna Setting Professional Modifier None Typical Low $549.54 Median $691.83 Typical High $724.44 | Professional | None | $549.54 | $691.83 | $724.44 |
AvMed Setting Facility Modifier None Typical Low $602.56 Median $707.95 Typical High $891.25 | Facility | None | $602.56 | $707.95 | $891.25 |
AvMed Setting Professional Modifier None Typical Low $602.56 Median $707.95 Typical High $891.25 | Professional | None | $602.56 | $707.95 | $891.25 |
Cigna Setting Facility Modifier None Typical Low $398.11 Median $524.81 Typical High $5,128.61 | Facility | None | $398.11 | $524.81 | $5,128.61 |
Cigna Setting Professional Modifier None Typical Low $660.69 Median $660.69 Typical High $660.69 | Professional | None | $660.69 | $660.69 | $660.69 |
Florida Blue Setting Professional Modifier None Typical Low $309.03 Median $707.95 Typical High $870.96 | Professional | None | $309.03 | $707.95 | $870.96 |
Molina Setting Professional Modifier None Typical Low $54.95 Median $575.44 Typical High $1,318.26 | Professional | None | $54.95 | $575.44 | $1,318.26 |
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 $478.63 Median $616.60 Typical High $1,023.29 | Professional | None | $478.63 | $616.60 | $1,023.29 |
Wellpoint Setting Professional Modifier None Typical Low $724.44 Median $724.44 Typical High $724.44 | Professional | None | $724.44 | $724.44 | $724.44 |
4 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 54 · Surgery only Typical Low $416.87 Median $524.81 Typical High $549.54 | Professional | 54 · Surgery only | $416.87 | $524.81 | $549.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $83.18 Median $104.71 Typical High $109.65 | Professional | 55 · Aftercare only | $83.18 | $104.71 | $109.65 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $54.95 Median $69.18 Typical High $72.44 | Professional | 56 · Pre-op care only | $54.95 | $69.18 | $72.44 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $389.05 Median $489.78 Typical High $512.86 | Professional | 78 · Unplanned return to OR | $389.05 | $489.78 | $512.86 |
Where Florida sits
The same service costs 3.8 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· 39th of 51
$661
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.