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 $537.03 Median $4,365.16 Typical High $11,748.98 | Facility | None | $537.03 | $4,365.16 | $11,748.98 |
Aetna Setting Professional Modifier None Typical Low $112.20 Median $181.97 Typical High $251.19 | Professional | None | $112.20 | $181.97 | $251.19 |
AvMed Setting Facility Modifier None Typical Low $245.47 Median $2,137.96 Typical High $11,748.98 | Facility | None | $245.47 | $2,137.96 | $11,748.98 |
AvMed Setting Professional Modifier None Typical Low $138.04 Median $223.87 Typical High $316.23 | Professional | None | $138.04 | $223.87 | $316.23 |
Cigna Setting Facility Modifier None Typical Low $489.78 Median $1,862.09 Typical High $3,162.28 | Facility | None | $489.78 | $1,862.09 | $3,162.28 |
Cigna Setting Professional Modifier None Typical Low $107.15 Median $204.17 Typical High $436.52 | Professional | None | $107.15 | $204.17 | $436.52 |
Florida Blue Setting Facility Modifier None Typical Low $1,230.27 Median $2,630.27 Typical High $16,982.44 | Facility | None | $1,230.27 | $2,630.27 | $16,982.44 |
Florida Blue Setting Professional Modifier None Typical Low $162.18 Median $213.80 Typical High $275.42 | Professional | None | $162.18 | $213.80 | $275.42 |
Molina Setting Professional Modifier None Typical Low $213.80 Median $288.40 Typical High $562.34 | Professional | None | $213.80 | $288.40 | $562.34 |
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 $109.65 Median $229.09 Typical High $467.74 | Professional | None | $109.65 | $229.09 | $467.74 |
Wellpoint Setting Professional Modifier None Typical Low $125.89 Median $288.40 Typical High $288.40 | Professional | None | $125.89 | $288.40 | $288.40 |
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 $56.23 Median $91.20 Typical High $125.89 | Professional | 52 · Reduced service | $56.23 | $91.20 | $125.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $36.31 Typical High $50.12 | Professional | 53 · Discontinued | $22.39 | $36.31 | $50.12 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $83.18 Median $138.04 Typical High $186.21 | Professional | 54 · Surgery only | $83.18 | $138.04 | $186.21 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $16.60 Median $27.54 Typical High $37.15 | Professional | 55 · Aftercare only | $16.60 | $27.54 | $37.15 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $11.22 Median $18.20 Typical High $25.12 | Professional | 56 · Pre-op care only | $11.22 | $18.20 | $25.12 |
Where Florida sits
The same service costs 5.8 times more in Alaska than in Hawaii. 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· 16th of 51
$331
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.