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 $24.55 Median $37.15 Typical High $588.84 | Facility | None | $24.55 | $37.15 | $588.84 |
Aetna Setting Professional Modifier None Typical Low $24.55 Median $35.48 Typical High $40.74 | Professional | None | $24.55 | $35.48 | $40.74 |
AvMed Setting Facility Modifier None Typical Low $28.18 Median $2,137.96 Typical High $11,748.98 | Facility | None | $28.18 | $2,137.96 | $11,748.98 |
AvMed Setting Professional Modifier None Typical Low $26.92 Median $38.02 Typical High $52.48 | Professional | None | $26.92 | $38.02 | $52.48 |
Cigna Setting Facility Modifier None Typical Low $23.44 Median $38.90 Typical High $66.07 | Facility | None | $23.44 | $38.90 | $66.07 |
Cigna Setting Professional Modifier None Typical Low $19.50 Median $29.51 Typical High $56.23 | Professional | None | $19.50 | $29.51 | $56.23 |
Florida Blue Setting Facility Modifier None Typical Low $32.36 Median $67.61 Typical High $2,089.30 | Facility | None | $32.36 | $67.61 | $2,089.30 |
Florida Blue Setting Professional Modifier None Typical Low $20.42 Median $40.74 Typical High $54.95 | Professional | None | $20.42 | $40.74 | $54.95 |
Molina Setting Professional Modifier None Typical Low $21.88 Median $54.95 Typical High $95.50 | Professional | None | $21.88 | $54.95 | $95.50 |
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 $21.38 Median $33.11 Typical High $63.10 | Professional | None | $21.38 | $33.11 | $63.10 |
Wellpoint Setting Professional Modifier None Typical Low $19.95 Median $34.67 Typical High $34.67 | Professional | None | $19.95 | $34.67 | $34.67 |
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 $12.30 Median $17.78 Typical High $20.42 | Professional | 52 · Reduced service | $12.30 | $17.78 | $20.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.01 Median $7.08 Typical High $8.32 | Professional | 53 · Discontinued | $5.01 | $7.08 | $8.32 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.72 Median $5.37 Typical High $6.17 | Professional | 55 · Aftercare only | $3.72 | $5.37 | $6.17 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.45 Median $3.55 Typical High $4.07 | Professional | 56 · Pre-op care only | $2.45 | $3.55 | $4.07 |
Where Florida sits
The same service costs 3.3 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
$36.31
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.