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 $776.25 Median $4,786.30 Typical High $12,022.64 | Facility | None | $776.25 | $4,786.30 | $12,022.64 |
Aetna Setting Professional Modifier None Typical Low $912.01 Median $1,202.26 Typical High $1,348.96 | Professional | None | $912.01 | $1,202.26 | $1,348.96 |
AvMed Setting Facility Modifier None Typical Low $1,000.00 Median $1,148.15 Typical High $1,445.44 | Facility | None | $1,000.00 | $1,148.15 | $1,445.44 |
AvMed Setting Professional Modifier None Typical Low $1,000.00 Median $1,148.15 Typical High $1,445.44 | Professional | None | $1,000.00 | $1,148.15 | $1,445.44 |
Cigna Setting Facility Modifier None Typical Low $398.11 Median $501.19 Typical High $2,691.53 | Facility | None | $398.11 | $501.19 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $1,071.52 Median $1,071.52 Typical High $1,071.52 | Professional | None | $1,071.52 | $1,071.52 | $1,071.52 |
Florida Blue Setting Professional Modifier None Typical Low $512.86 Median $1,148.15 Typical High $1,445.44 | Professional | None | $512.86 | $1,148.15 | $1,445.44 |
Molina Setting Professional Modifier None Typical Low $87.10 Median $831.76 Typical High $1,995.26 | Professional | None | $87.10 | $831.76 | $1,995.26 |
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 $794.33 Median $1,023.29 Typical High $1,698.24 | Professional | None | $794.33 | $1,023.29 | $1,698.24 |
Wellpoint Setting Professional Modifier None Typical Low $1,174.90 Median $1,174.90 Typical High $1,174.90 | Professional | None | $1,174.90 | $1,174.90 | $1,174.90 |
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 $691.83 Median $891.25 Typical High $1,023.29 | Professional | 54 · Surgery only | $691.83 | $891.25 | $1,023.29 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $138.04 Median $177.83 Typical High $204.17 | Professional | 55 · Aftercare only | $138.04 | $177.83 | $204.17 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $91.20 Median $120.23 Typical High $134.90 | Professional | 56 · Pre-op care only | $91.20 | $120.23 | $134.90 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $645.65 Median $831.76 Typical High $954.99 | Professional | 78 · Unplanned return to OR | $645.65 | $831.76 | $954.99 |
Where Florida sits
The same service costs 16.2 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· 48th of 51
$1,000
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.