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 $707.95 Median $4,897.79 Typical High $12,882.50 | Facility | None | $707.95 | $4,897.79 | $12,882.50 |
Aetna Setting Professional Modifier None Typical Low $239.88 Median $257.04 Typical High $309.03 | Professional | None | $239.88 | $257.04 | $309.03 |
AvMed Setting Facility Modifier None Typical Low $288.40 Median $2,137.96 Typical High $10,232.93 | Facility | None | $288.40 | $2,137.96 | $10,232.93 |
AvMed Setting Professional Modifier None Typical Low $199.53 Median $288.40 Typical High $338.84 | Professional | None | $199.53 | $288.40 | $338.84 |
Cigna Setting Facility Modifier None Typical Low $645.65 Median $1,047.13 Typical High $2,691.53 | Facility | None | $645.65 | $1,047.13 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $199.53 Median $213.80 Typical High $436.52 | Professional | None | $199.53 | $213.80 | $436.52 |
Florida Blue Setting Facility Modifier None Typical Low $1,230.27 Median $2,041.74 Typical High $3,715.35 | Facility | None | $1,230.27 | $2,041.74 | $3,715.35 |
Florida Blue Setting Professional Modifier None Typical Low $123.03 Median $245.47 Typical High $346.74 | Professional | None | $123.03 | $245.47 | $346.74 |
Molina Setting Professional Modifier None Typical Low $194.98 Median $229.09 Typical High $416.87 | Professional | None | $194.98 | $229.09 | $416.87 |
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 $190.55 Median $245.47 Typical High $478.63 | Professional | None | $190.55 | $245.47 | $478.63 |
Wellpoint Setting Professional Modifier None Typical Low $190.55 Median $190.55 Typical High $251.19 | Professional | None | $190.55 | $190.55 | $251.19 |
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 $120.23 Median $125.89 Typical High $151.36 | Professional | 52 · Reduced service | $120.23 | $125.89 | $151.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $47.86 Median $51.29 Typical High $60.26 | Professional | 53 · Discontinued | $47.86 | $51.29 | $60.26 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $181.97 Median $190.55 Typical High $229.09 | Professional | 54 · Surgery only | $181.97 | $190.55 | $229.09 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $36.31 Median $38.02 Typical High $45.71 | Professional | 55 · Aftercare only | $36.31 | $38.02 | $45.71 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $23.99 Median $25.70 Typical High $30.20 | Professional | 56 · Pre-op care only | $23.99 | $25.70 | $30.20 |
Where Florida sits
The same service costs 4.8 times more in Alaska than in Utah. 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· 49th of 51
$257
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.