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 $645.65 Median $3,890.45 Typical High $12,022.64 | Facility | None | $645.65 | $3,890.45 | $12,022.64 |
Aetna Setting Professional Modifier None Typical Low $47.86 Median $79.43 Typical High $95.50 | Professional | None | $47.86 | $79.43 | $95.50 |
Ambetter Setting Professional Modifier None Typical Low $354.81 Median $354.81 Typical High $354.81 | Professional | None | $354.81 | $354.81 | $354.81 |
AvMed Setting Facility Modifier None Typical Low $2,041.74 Median $2,137.96 Typical High $2,238.72 | Facility | None | $2,041.74 | $2,137.96 | $2,238.72 |
AvMed Setting Professional Modifier None Typical Low $416.87 Median $2,137.96 Typical High $2,754.23 | Professional | None | $416.87 | $2,137.96 | $2,754.23 |
Cigna Setting Facility Modifier None Typical Low $398.11 Median $549.54 Typical High $11,481.54 | Facility | None | $398.11 | $549.54 | $11,481.54 |
Cigna Setting Professional Modifier None Typical Low $12,302.69 Median $12,302.69 Typical High $12,302.69 | Professional | None | $12,302.69 | $12,302.69 | $12,302.69 |
Florida Blue Setting Professional Modifier None Typical Low $83.18 Median $2,511.89 Typical High $2,691.53 | Professional | None | $83.18 | $2,511.89 | $2,691.53 |
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 $66.07 Median $107.15 Typical High $2,951.21 | Professional | None | $66.07 | $107.15 | $2,951.21 |
Wellpoint Setting Professional Modifier None Typical Low $588.84 Median $588.84 Typical High $588.84 | Professional | None | $588.84 | $588.84 | $588.84 |
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 52 · Reduced service Typical Low $23.99 Median $39.81 Typical High $43.65 | Professional | 52 · Reduced service | $23.99 | $39.81 | $43.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.55 Median $15.85 Typical High $17.38 | Professional | 53 · Discontinued | $9.55 | $15.85 | $17.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.08 Median $12.02 Typical High $12.88 | Professional | 55 · Aftercare only | $7.08 | $12.02 | $12.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.79 Median $7.94 Typical High $8.71 | Professional | 56 · Pre-op care only | $4.79 | $7.94 | $8.71 |
Where Florida sits
The same service costs 30.9 times more in California than in Idaho. 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· 25th of 51
$562
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.