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 $38.02 Median $69.18 Typical High $588.84 | Facility | None | $38.02 | $69.18 | $588.84 |
Aetna Setting Professional Modifier None Typical Low $36.31 Median $60.26 Typical High $81.28 | Professional | None | $36.31 | $60.26 | $81.28 |
AvMed Setting Facility Modifier None Typical Low $70.79 Median $2,137.96 Typical High $11,748.98 | Facility | None | $70.79 | $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 $79.43 Typical High $154.88 | Facility | None | $52.48 | $79.43 | $154.88 |
Cigna Setting Professional Modifier None Typical Low $31.62 Median $60.26 Typical High $102.33 | Professional | None | $31.62 | $60.26 | $102.33 |
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 $30.90 Median $72.44 Typical High $104.71 | Professional | None | $30.90 | $72.44 | $104.71 |
Molina Setting Professional Modifier None Typical Low $77.62 Median $91.20 Typical High $165.96 | Professional | None | $77.62 | $91.20 | $165.96 |
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 $32.36 Median $58.88 Typical High $112.20 | Professional | None | $32.36 | $58.88 | $112.20 |
Wellpoint Setting Professional Modifier None Typical Low $38.90 Median $97.72 Typical High $97.72 | Professional | None | $38.90 | $97.72 | $97.72 |
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 $18.20 Median $30.20 Typical High $39.81 | Professional | 52 · Reduced service | $18.20 | $30.20 | $39.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.24 Median $12.02 Typical High $16.22 | Professional | 53 · Discontinued | $7.24 | $12.02 | $16.22 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.50 Median $9.12 Typical High $12.02 | Professional | 55 · Aftercare only | $5.50 | $9.12 | $12.02 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.63 Median $6.03 Typical High $8.13 | Professional | 56 · Pre-op care only | $3.63 | $6.03 | $8.13 |
Where Florida sits
The same service costs 3.9 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· 49th of 51
$64.57
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.