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 $56.23 Median $83.18 Typical High $588.84 | Facility | None | $56.23 | $83.18 | $588.84 |
Aetna Setting Professional Modifier None Typical Low $53.70 Median $75.86 Typical High $123.03 | Professional | None | $53.70 | $75.86 | $123.03 |
Ambetter Setting Professional Modifier None Typical Low $102.33 Median $102.33 Typical High $144.54 | Professional | None | $102.33 | $102.33 | $144.54 |
AvMed Setting Facility Modifier None Typical Low $74.13 Median $630.96 Typical High $2,818.38 | Facility | None | $74.13 | $630.96 | $2,818.38 |
AvMed Setting Professional Modifier None Typical Low $67.61 Median $87.10 Typical High $114.82 | Professional | None | $67.61 | $87.10 | $114.82 |
Cigna Setting Facility Modifier None Typical Low $52.48 Median $81.28 Typical High $162.18 | Facility | None | $52.48 | $81.28 | $162.18 |
Cigna Setting Professional Modifier None Typical Low $48.98 Median $69.18 Typical High $125.89 | Professional | None | $48.98 | $69.18 | $125.89 |
Florida Blue Setting Facility Modifier None Typical Low $60.26 Median $131.83 Typical High $3,019.95 | Facility | None | $60.26 | $131.83 | $3,019.95 |
Florida Blue Setting Professional Modifier None Typical Low $36.31 Median $83.18 Typical High $117.49 | Professional | None | $36.31 | $83.18 | $117.49 |
Molina Setting Professional Modifier None Typical Low $54.95 Median $85.11 Typical High $144.54 | Professional | None | $54.95 | $85.11 | $144.54 |
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 $48.98 Median $67.61 Typical High $138.04 | Professional | None | $48.98 | $67.61 | $138.04 |
Wellpoint Setting Professional Modifier None Typical Low $50.12 Median $85.11 Typical High $85.11 | Professional | None | $50.12 | $85.11 | $85.11 |
4 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 $26.92 Median $35.48 Typical High $45.71 | Professional | 52 · Reduced service | $26.92 | $35.48 | $45.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.96 Median $14.45 Typical High $18.62 | Professional | 53 · Discontinued | $10.96 | $14.45 | $18.62 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.13 Median $10.72 Typical High $13.80 | Professional | 55 · Aftercare only | $8.13 | $10.72 | $13.80 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.37 Median $7.08 Typical High $9.33 | Professional | 56 · Pre-op care only | $5.37 | $7.08 | $9.33 |
Where Florida sits
The same service costs 3.6 times more in Alaska 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· 50th of 51
$79.43
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.