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 $89.13 Median $114.82 Typical High $588.84 | Facility | None | $89.13 | $114.82 | $588.84 |
Aetna Setting Professional Modifier None Typical Low $87.10 Median $107.15 Typical High $144.54 | Professional | None | $87.10 | $107.15 | $144.54 |
AvMed Setting Facility Modifier None Typical Low $112.20 Median $2,137.96 Typical High $11,748.98 | Facility | None | $112.20 | $2,137.96 | $11,748.98 |
AvMed Setting Professional Modifier None Typical Low $104.71 Median $128.82 Typical High $162.18 | Professional | None | $104.71 | $128.82 | $162.18 |
Cigna Setting Facility Modifier None Typical Low $52.48 Median $104.71 Typical High $204.17 | Facility | None | $52.48 | $104.71 | $204.17 |
Cigna Setting Professional Modifier None Typical Low $75.86 Median $107.15 Typical High $186.21 | Professional | None | $75.86 | $107.15 | $186.21 |
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 $54.95 Median $123.03 Typical High $165.96 | Professional | None | $54.95 | $123.03 | $165.96 |
Molina Setting Professional Modifier None Typical Low $83.18 Median $123.03 Typical High $194.98 | Professional | None | $83.18 | $123.03 | $194.98 |
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 $75.86 Median $107.15 Typical High $213.80 | Professional | None | $75.86 | $107.15 | $213.80 |
Wellpoint Setting Professional Modifier None Typical Low $75.86 Median $120.23 Typical High $120.23 | Professional | None | $75.86 | $120.23 | $120.23 |
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 $43.65 Median $53.70 Typical High $69.18 | Professional | 52 · Reduced service | $43.65 | $53.70 | $69.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.38 Median $21.38 Typical High $28.18 | Professional | 53 · Discontinued | $17.38 | $21.38 | $28.18 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.88 Median $16.22 Typical High $20.89 | Professional | 55 · Aftercare only | $12.88 | $16.22 | $20.89 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.71 Median $10.72 Typical High $13.80 | Professional | 56 · Pre-op care only | $8.71 | $10.72 | $13.80 |
Where Florida sits
The same service costs 4.0 times more in Alaska than in Florida. 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· 51st of 51
$110
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.