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 $52.48 Typical High $588.84 | Facility | None | $38.02 | $52.48 | $588.84 |
Aetna Setting Professional Modifier None Typical Low $38.02 Median $50.12 Typical High $63.10 | Professional | None | $38.02 | $50.12 | $63.10 |
AvMed Setting Facility Modifier None Typical Low $45.71 Median $2,137.96 Typical High $11,748.98 | Facility | None | $45.71 | $2,137.96 | $11,748.98 |
AvMed Setting Professional Modifier None Typical Low $41.69 Median $56.23 Typical High $70.79 | Professional | None | $41.69 | $56.23 | $70.79 |
Cigna Setting Facility Modifier None Typical Low $38.02 Median $50.12 Typical High $85.11 | Facility | None | $38.02 | $50.12 | $85.11 |
Cigna Setting Professional Modifier None Typical Low $31.62 Median $45.71 Typical High $81.28 | Professional | None | $31.62 | $45.71 | $81.28 |
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 $25.12 Median $54.95 Typical High $72.44 | Professional | None | $25.12 | $54.95 | $72.44 |
Molina Setting Professional Modifier None Typical Low $52.48 Median $60.26 Typical High $107.15 | Professional | None | $52.48 | $60.26 | $107.15 |
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 $46.77 Typical High $91.20 | Professional | None | $32.36 | $46.77 | $91.20 |
Wellpoint Setting Professional Modifier None Typical Low $38.90 Median $67.61 Typical High $67.61 | Professional | None | $38.90 | $67.61 | $67.61 |
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 $19.05 Median $25.12 Typical High $30.90 | Professional | 52 · Reduced service | $19.05 | $25.12 | $30.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.59 Median $10.00 Typical High $12.02 | Professional | 53 · Discontinued | $7.59 | $10.00 | $12.02 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.62 Median $7.59 Typical High $9.12 | Professional | 55 · Aftercare only | $5.62 | $7.59 | $9.12 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.80 Median $5.01 Typical High $6.17 | Professional | 56 · Pre-op care only | $3.80 | $5.01 | $6.17 |
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
$52.48
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.