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 $67.61 Typical High $588.84 | Facility | None | $48.98 | $67.61 | $588.84 |
Aetna Setting Professional Modifier None Typical Low $48.98 Median $63.10 Typical High $89.13 | Professional | None | $48.98 | $63.10 | $89.13 |
Ambetter Setting Professional Modifier None Typical Low $79.43 Median $79.43 Typical High $131.83 | Professional | None | $79.43 | $79.43 | $131.83 |
AvMed Setting Facility Modifier None Typical Low $56.23 Median $2,137.96 Typical High $11,748.98 | Facility | None | $56.23 | $2,137.96 | $11,748.98 |
AvMed Setting Professional Modifier None Typical Low $53.70 Median $70.79 Typical High $89.13 | Professional | None | $53.70 | $70.79 | $89.13 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $63.10 Typical High $112.20 | Facility | None | $50.12 | $63.10 | $112.20 |
Cigna Setting Professional Modifier None Typical Low $38.02 Median $54.95 Typical High $104.71 | Professional | None | $38.02 | $54.95 | $104.71 |
Florida Blue Setting Facility Modifier None Typical Low $32.36 Median $70.79 Typical High $3,019.95 | Facility | None | $32.36 | $70.79 | $3,019.95 |
Florida Blue Setting Professional Modifier None Typical Low $33.11 Median $72.44 Typical High $93.33 | Professional | None | $33.11 | $72.44 | $93.33 |
Molina Setting Professional Modifier None Typical Low $43.65 Median $83.18 Typical High $144.54 | Professional | None | $43.65 | $83.18 | $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 $39.81 Median $58.88 Typical High $114.82 | Professional | None | $39.81 | $58.88 | $114.82 |
Wellpoint Setting Professional Modifier None Typical Low $39.81 Median $63.10 Typical High $63.10 | Professional | None | $39.81 | $63.10 | $63.10 |
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 $32.36 Typical High $37.15 | Professional | 52 · Reduced service | $24.55 | $32.36 | $37.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.77 Median $12.88 Typical High $14.79 | Professional | 53 · Discontinued | $9.77 | $12.88 | $14.79 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.41 Median $9.77 Typical High $11.22 | Professional | 55 · Aftercare only | $7.41 | $9.77 | $11.22 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.90 Median $6.61 Typical High $7.41 | Professional | 56 · Pre-op care only | $4.90 | $6.61 | $7.41 |
Where Florida sits
The same service costs 3.5 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
$63.10
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.