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 $223.87 Median $3,311.31 Typical High $12,022.64 | Facility | None | $223.87 | $3,311.31 | $12,022.64 |
Aetna Setting Professional Modifier None Typical Low $144.54 Median $213.80 Typical High $288.40 | Professional | None | $144.54 | $213.80 | $288.40 |
AvMed Setting Facility Modifier None Typical Low $208.93 Median $2,137.96 Typical High $11,748.98 | Facility | None | $208.93 | $2,137.96 | $11,748.98 |
AvMed Setting Professional Modifier None Typical Low $181.97 Median $275.42 Typical High $380.19 | Professional | None | $181.97 | $275.42 | $380.19 |
Cigna Setting Facility Modifier None Typical Low $52.48 Median $169.82 Typical High $331.13 | Facility | None | $52.48 | $169.82 | $331.13 |
Cigna Setting Professional Modifier None Typical Low $134.90 Median $223.87 Typical High $354.81 | Professional | None | $134.90 | $223.87 | $354.81 |
Florida Blue Setting Facility Modifier None Typical Low $114.82 Median $251.19 Typical High $3,019.95 | Facility | None | $114.82 | $251.19 | $3,019.95 |
Florida Blue Setting Professional Modifier None Typical Low $107.15 Median $245.47 Typical High $389.05 | Professional | None | $107.15 | $245.47 | $389.05 |
Molina Setting Professional Modifier None Typical Low $151.36 Median $281.84 Typical High $489.78 | Professional | None | $151.36 | $281.84 | $489.78 |
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 $128.82 Median $213.80 Typical High $407.38 | Professional | None | $128.82 | $213.80 | $407.38 |
Wellpoint Setting Professional Modifier None Typical Low $138.04 Median $239.88 Typical High $239.88 | Professional | None | $138.04 | $239.88 | $239.88 |
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 $72.44 Median $107.15 Typical High $144.54 | Professional | 52 · Reduced service | $72.44 | $107.15 | $144.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $42.66 Typical High $57.54 | Professional | 53 · Discontinued | $28.84 | $42.66 | $57.54 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $109.65 Median $158.49 Typical High $213.80 | Professional | 54 · Surgery only | $109.65 | $158.49 | $213.80 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $21.88 Median $31.62 Typical High $42.66 | Professional | 55 · Aftercare only | $21.88 | $31.62 | $42.66 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $14.45 Median $21.38 Typical High $28.84 | Professional | 56 · Pre-op care only | $14.45 | $21.38 | $28.84 |
Where Florida sits
The same service costs 3.8 times more in Alaska than in Maryland. 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
$224
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.