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 $354.81 Median $3,019.95 Typical High $10,964.78 | Facility | None | $354.81 | $3,019.95 | $10,964.78 |
Aetna Setting Professional Modifier None Typical Low $25.70 Median $46.77 Typical High $60.26 | Professional | None | $25.70 | $46.77 | $60.26 |
AvMed Setting Facility Modifier None Typical Low $51.29 Median $2,137.96 Typical High $11,748.98 | Facility | None | $51.29 | $2,137.96 | $11,748.98 |
AvMed Setting Professional Modifier None Typical Low $26.92 Median $52.48 Typical High $69.18 | Professional | None | $26.92 | $52.48 | $69.18 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $2,290.87 Typical High $2,691.53 | Facility | None | $50.12 | $2,290.87 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $22.39 Median $42.66 Typical High $67.61 | Professional | None | $22.39 | $42.66 | $67.61 |
Florida Blue Setting Facility Modifier None Typical Low $32.36 Median $53.70 Typical High $97.72 | Facility | None | $32.36 | $53.70 | $97.72 |
Florida Blue Setting Professional Modifier None Typical Low $34.67 Median $48.98 Typical High $74.13 | Professional | None | $34.67 | $48.98 | $74.13 |
Molina Setting Professional Modifier None Typical Low $21.38 Median $34.67 Typical High $77.62 | Professional | None | $21.38 | $34.67 | $77.62 |
United Setting Facility Modifier None Typical Low $81.28 Median $302.00 Typical High $2,818.38 | Facility | None | $81.28 | $302.00 | $2,818.38 |
United Setting Professional Modifier None Typical Low $21.88 Median $41.69 Typical High $75.86 | Professional | None | $21.88 | $41.69 | $75.86 |
Wellpoint Setting Professional Modifier None Typical Low $19.50 Median $51.29 Typical High $51.29 | Professional | None | $19.50 | $51.29 | $51.29 |
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 $12.59 Median $22.91 Typical High $26.30 | Professional | 52 · Reduced service | $12.59 | $22.91 | $26.30 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.01 Median $9.33 Typical High $10.47 | Professional | 53 · Discontinued | $5.01 | $9.33 | $10.47 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $19.05 Median $34.67 Typical High $38.90 | Professional | 54 · Surgery only | $19.05 | $34.67 | $38.90 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.80 Median $6.92 Typical High $7.94 | Professional | 55 · Aftercare only | $3.80 | $6.92 | $7.94 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.51 Median $4.57 Typical High $5.25 | Professional | 56 · Pre-op care only | $2.51 | $4.57 | $5.25 |
Where Florida sits
The same service costs 4.0 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· 46th of 51
$46.77
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.