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 $48.98 Median $70.79 Typical High $588.84 | Facility | None | $48.98 | $70.79 | $588.84 |
Aetna Setting Professional Modifier None Typical Low $48.98 Median $70.79 Typical High $112.20 | Professional | None | $48.98 | $70.79 | $112.20 |
Ambetter Setting Professional Modifier None Typical Low $91.20 Median $97.72 Typical High $125.89 | Professional | None | $91.20 | $97.72 | $125.89 |
AvMed Setting Facility Modifier None Typical Low $67.61 Median $630.96 Typical High $2,818.38 | Facility | None | $67.61 | $630.96 | $2,818.38 |
AvMed Setting Professional Modifier None Typical Low $60.26 Median $77.62 Typical High $102.33 | Professional | None | $60.26 | $77.62 | $102.33 |
Cigna Setting Facility Modifier None Typical Low $52.48 Median $75.86 Typical High $147.91 | Facility | None | $52.48 | $75.86 | $147.91 |
Cigna Setting Professional Modifier None Typical Low $44.67 Median $64.57 Typical High $112.20 | Professional | None | $44.67 | $64.57 | $112.20 |
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 $33.11 Median $75.86 Typical High $104.71 | Professional | None | $33.11 | $75.86 | $104.71 |
Molina Setting Professional Modifier None Typical Low $50.12 Median $85.11 Typical High $144.54 | Professional | None | $50.12 | $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 $43.65 Median $61.66 Typical High $125.89 | Professional | None | $43.65 | $61.66 | $125.89 |
Wellpoint Setting Professional Modifier None Typical Low $45.71 Median $75.86 Typical High $75.86 | Professional | None | $45.71 | $75.86 | $75.86 |
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 $24.55 Median $33.11 Typical High $41.69 | Professional | 52 · Reduced service | $24.55 | $33.11 | $41.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.77 Median $13.18 Typical High $16.60 | Professional | 53 · Discontinued | $9.77 | $13.18 | $16.60 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.24 Median $10.00 Typical High $12.59 | Professional | 55 · Aftercare only | $7.24 | $10.00 | $12.59 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.90 Median $6.61 Typical High $8.32 | Professional | 56 · Pre-op care only | $4.90 | $6.61 | $8.32 |
Where Florida sits
The same service costs 3.7 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
$74.13
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.