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 $151.36 | Facility | None | $48.98 | $70.79 | $151.36 |
Aetna Setting Professional Modifier None Typical Low $47.86 Median $66.07 Typical High $107.15 | Professional | None | $47.86 | $66.07 | $107.15 |
Ambetter Setting Professional Modifier None Typical Low $39.81 Median $107.15 Typical High $169.82 | Professional | None | $39.81 | $107.15 | $169.82 |
AvMed Setting Facility Modifier None Typical Low $64.57 Median $2,137.96 Typical High $11,748.98 | Facility | None | $64.57 | $2,137.96 | $11,748.98 |
AvMed Setting Professional Modifier None Typical Low $42.66 Median $77.62 Typical High $102.33 | Professional | None | $42.66 | $77.62 | $102.33 |
Cigna Setting Facility Modifier None Typical Low $52.48 Median $72.44 Typical High $141.25 | Facility | None | $52.48 | $72.44 | $141.25 |
Cigna Setting Professional Modifier None Typical Low $31.62 Median $58.88 Typical High $107.15 | Professional | None | $31.62 | $58.88 | $107.15 |
Florida Blue Setting Facility Modifier None Typical Low $33.88 Median $67.61 Typical High $2,089.30 | Facility | None | $33.88 | $67.61 | $2,089.30 |
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 $32.36 Median $83.18 Typical High $144.54 | Professional | None | $32.36 | $83.18 | $144.54 |
United Setting Facility Modifier None Typical Low $81.28 Median $302.00 Typical High $2,754.23 | Facility | None | $81.28 | $302.00 | $2,754.23 |
United Setting Professional Modifier None Typical Low $31.62 Median $57.54 Typical High $114.82 | Professional | None | $31.62 | $57.54 | $114.82 |
Wellpoint Setting Professional Modifier None Typical Low $29.51 Median $72.44 Typical High $72.44 | Professional | None | $29.51 | $72.44 | $72.44 |
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 $23.99 Median $33.11 Typical High $38.90 | Professional | 52 · Reduced service | $23.99 | $33.11 | $38.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.55 Median $13.18 Typical High $15.49 | Professional | 53 · Discontinued | $9.55 | $13.18 | $15.49 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.24 Median $9.77 Typical High $11.75 | Professional | 55 · Aftercare only | $7.24 | $9.77 | $11.75 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.79 Median $6.61 Typical High $7.76 | Professional | 56 · Pre-op care only | $4.79 | $6.61 | $7.76 |
Where Florida sits
The same service costs 3.8 times more in Alaska than in Virginia. 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
$66.07
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.