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 $58.88 Median $77.62 Typical High $588.84 | Facility | None | $58.88 | $77.62 | $588.84 |
Aetna Setting Professional Modifier None Typical Low $58.88 Median $77.62 Typical High $100.00 | Professional | None | $58.88 | $77.62 | $100.00 |
AvMed Setting Facility Modifier None Typical Low $81.28 Median $2,137.96 Typical High $11,748.98 | Facility | None | $81.28 | $2,137.96 | $11,748.98 |
AvMed Setting Professional Modifier None Typical Low $74.13 Median $95.50 Typical High $125.89 | Professional | None | $74.13 | $95.50 | $125.89 |
Cigna Setting Facility Modifier None Typical Low $52.48 Median $75.86 Typical High $147.91 | Facility | None | $52.48 | $75.86 | $147.91 |
Cigna Setting Professional Modifier None Typical Low $56.23 Median $79.43 Typical High $134.90 | Professional | None | $56.23 | $79.43 | $134.90 |
Florida Blue Setting Facility Modifier None Typical Low $34.67 Median $70.79 Typical High $3,019.95 | Facility | None | $34.67 | $70.79 | $3,019.95 |
Florida Blue Setting Professional Modifier None Typical Low $41.69 Median $93.33 Typical High $128.82 | Professional | None | $41.69 | $93.33 | $128.82 |
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 $56.23 Median $77.62 Typical High $154.88 | Professional | None | $56.23 | $77.62 | $154.88 |
Wellpoint Setting Professional Modifier None Typical Low $67.61 Median $117.49 Typical High $117.49 | Professional | None | $67.61 | $117.49 | $117.49 |
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 $29.51 Median $38.90 Typical High $50.12 | Professional | 52 · Reduced service | $29.51 | $38.90 | $50.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.75 Median $15.49 Typical High $19.95 | Professional | 53 · Discontinued | $11.75 | $15.49 | $19.95 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.91 Median $11.48 Typical High $14.79 | Professional | 55 · Aftercare only | $8.91 | $11.48 | $14.79 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.89 Median $7.76 Typical High $10.00 | Professional | 56 · Pre-op care only | $5.89 | $7.76 | $10.00 |
Where Florida sits
The same service costs 3.8 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
$81.28
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.