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 $3,890.45 Typical High $12,022.64 | Facility | None | $776.25 | $3,890.45 | $12,022.64 |
Aetna Setting Professional Modifier None Typical Low $912.01 Median $1,513.56 Typical High $1,621.81 | Professional | None | $912.01 | $1,513.56 | $1,621.81 |
AvMed Setting Facility Modifier None Typical Low $933.25 Median $977.24 Typical High $1,071.52 | Facility | None | $933.25 | $977.24 | $1,071.52 |
AvMed Setting Professional Modifier None Typical Low $933.25 Median $1,174.90 Typical High $1,479.11 | Professional | None | $933.25 | $1,174.90 | $1,479.11 |
Cigna Setting Facility Modifier None Typical Low $398.11 Median $537.03 Typical High $3,019.95 | Facility | None | $398.11 | $537.03 | $3,019.95 |
Cigna Setting Professional Modifier None Typical Low $1,258.93 Median $1,258.93 Typical High $6,918.31 | Professional | None | $1,258.93 | $1,258.93 | $6,918.31 |
Florida Blue Setting Professional Modifier None Typical Low $851.14 Median $1,148.15 Typical High $1,445.44 | Professional | None | $851.14 | $1,148.15 | $1,445.44 |
Molina Setting Professional Modifier None Typical Low $50.12 Median $50.12 Typical High $50.12 | Professional | None | $50.12 | $50.12 | $50.12 |
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 $1,174.90 Median $1,778.28 Typical High $3,715.35 | Professional | None | $1,174.90 | $1,778.28 | $3,715.35 |
Wellpoint Setting Professional Modifier None Typical Low $1,348.96 Median $1,348.96 Typical High $1,348.96 | Professional | None | $1,348.96 | $1,348.96 | $1,348.96 |
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 $457.09 Median $758.58 Typical High $812.83 | Professional | 52 · Reduced service | $457.09 | $758.58 | $812.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $181.97 Median $302.00 Typical High $323.59 | Professional | 53 · Discontinued | $181.97 | $302.00 | $323.59 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $676.08 Median $1,122.02 Typical High $1,202.26 | Professional | 54 · Surgery only | $676.08 | $1,122.02 | $1,202.26 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $134.90 Median $229.09 Typical High $239.88 | Professional | 55 · Aftercare only | $134.90 | $229.09 | $239.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $91.20 Median $151.36 Typical High $162.18 | Professional | 56 · Pre-op care only | $91.20 | $151.36 | $162.18 |
Where Florida sits
The same service costs 6.8 times more in Alaska than in Arkansas. 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· 44th of 51
$1,349
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.