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 $97.72 Median $123.03 Typical High $588.84 | Facility | None | $97.72 | $123.03 | $588.84 |
Aetna Setting Professional Modifier None Typical Low $97.72 Median $114.82 Typical High $151.36 | Professional | None | $97.72 | $114.82 | $151.36 |
Ambetter Setting Professional Modifier None Typical Low $478.63 Median $478.63 Typical High $954.99 | Professional | None | $478.63 | $478.63 | $954.99 |
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 $158.49 | Professional | None | $104.71 | $128.82 | $158.49 |
Cigna Setting Facility Modifier None Typical Low $52.48 Median $77.62 Typical High $154.88 | Facility | None | $52.48 | $77.62 | $154.88 |
Cigna Setting Professional Modifier None Typical Low $81.28 Median $107.15 Typical High $190.55 | Professional | None | $81.28 | $107.15 | $190.55 |
Florida Blue Setting Facility Modifier None Typical Low $34.67 Median $67.61 Typical High $2,089.30 | Facility | None | $34.67 | $67.61 | $2,089.30 |
Florida Blue Setting Professional Modifier None Typical Low $57.54 Median $102.33 Typical High $158.49 | Professional | None | $57.54 | $102.33 | $158.49 |
Molina Setting Professional Modifier None Typical Low $85.11 Median $120.23 Typical High $194.98 | Professional | None | $85.11 | $120.23 | $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 $81.28 Median $112.20 Typical High $218.78 | Professional | None | $81.28 | $112.20 | $218.78 |
Wellpoint Setting Professional Modifier None Typical Low $77.62 Median $112.20 Typical High $112.20 | Professional | None | $77.62 | $112.20 | $112.20 |
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 $48.98 Median $57.54 Typical High $70.79 | Professional | 52 · Reduced service | $48.98 | $57.54 | $70.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.50 Median $22.91 Typical High $28.84 | Professional | 53 · Discontinued | $19.50 | $22.91 | $28.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $14.45 Median $17.38 Typical High $21.38 | Professional | 55 · Aftercare only | $14.45 | $17.38 | $21.38 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.77 Median $11.48 Typical High $14.45 | Professional | 56 · Pre-op care only | $9.77 | $11.48 | $14.45 |
Where Florida sits
The same service costs 4.3 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
$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.