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 $549.54 Median $4,073.80 Typical High $11,481.54 | Facility | None | $549.54 | $4,073.80 | $11,481.54 |
Aetna Setting Professional Modifier None Typical Low $223.87 Median $371.54 Typical High $398.11 | Professional | None | $223.87 | $371.54 | $398.11 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $112.20 Median $186.21 Typical High $199.53 | Professional | 52 · Reduced service | $112.20 | $186.21 | $199.53 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $44.67 Median $74.13 Typical High $79.43 | Professional | 53 · Discontinued | $44.67 | $74.13 | $79.43 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $33.11 Median $56.23 Typical High $58.88 | Professional | 55 · Aftercare only | $33.11 | $56.23 | $58.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $22.39 Median $37.15 Typical High $39.81 | Professional | 56 · Pre-op care only | $22.39 | $37.15 | $39.81 |
AvMed Setting Facility Modifier None Typical Low $295.12 Median $2,238.72 Typical High $3,388.44 | Facility | None | $295.12 | $2,238.72 | $3,388.44 |
AvMed Setting Professional Modifier None Typical Low $151.36 Median $309.03 Typical High $398.11 | Professional | None | $151.36 | $309.03 | $398.11 |
Cigna Setting Facility Modifier None Typical Low $489.78 Median $2,754.23 Typical High $6,760.83 | Facility | None | $489.78 | $2,754.23 | $6,760.83 |
Cigna Setting Professional Modifier None Typical Low $2,089.30 Median $2,089.30 Typical High $2,089.30 | Professional | None | $2,089.30 | $2,089.30 | $2,089.30 |
Florida Blue Setting Facility Modifier None Typical Low $912.01 Median $1,445.44 Typical High $2,818.38 | Facility | None | $912.01 | $1,445.44 | $2,818.38 |
Florida Blue Setting Professional Modifier None Typical Low $138.04 Median $363.08 Typical High $389.05 | Professional | None | $138.04 | $363.08 | $389.05 |
Molina Setting Professional Modifier None Typical Low $851.14 Median $851.14 Typical High $2,041.74 | Professional | None | $851.14 | $851.14 | $2,041.74 |
United Setting Facility Modifier None Typical Low $954.99 Median $2,344.23 Typical High $10,000.00 | Facility | None | $954.99 | $2,344.23 | $10,000.00 |
United Setting Professional Modifier None Typical Low $239.88 Median $316.23 Typical High $602.56 | Professional | None | $239.88 | $316.23 | $602.56 |
Wellpoint Setting Professional Modifier None Typical Low $93.33 Median $93.33 Typical High $363.08 | Professional | None | $93.33 | $93.33 | $363.08 |
1 more rate 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 $165.96 Median $281.84 Typical High $295.12 | Professional | 54 · Surgery only | $165.96 | $281.84 | $295.12 |
Where Florida sits
The same service costs 28.2 times more in Texas 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.
Florida· 35th of 51
$398
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.