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 $281.84 Median $3,311.31 Typical High $12,022.64 | Facility | None | $281.84 | $3,311.31 | $12,022.64 |
Aetna Setting Professional Modifier None Typical Low $281.84 Median $281.84 Typical High $1,258.93 | Professional | None | $281.84 | $281.84 | $1,258.93 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $208.93 Median $208.93 Typical High $954.99 | Professional | 54 · Surgery only | $208.93 | $208.93 | $954.99 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $41.69 Median $41.69 Typical High $190.55 | Professional | 55 · Aftercare only | $41.69 | $41.69 | $190.55 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $28.18 Median $28.18 Typical High $125.89 | Professional | 56 · Pre-op care only | $28.18 | $28.18 | $125.89 |
AvMed Setting Facility Modifier None Typical Low $446.68 Median $2,691.53 Typical High $13,182.57 | Facility | None | $446.68 | $2,691.53 | $13,182.57 |
AvMed Setting Professional Modifier None Typical Low $380.19 Median $478.63 Typical High $588.84 | Professional | None | $380.19 | $478.63 | $588.84 |
Cigna Setting Facility Modifier None Typical Low $398.11 Median $501.19 Typical High $2,691.53 | Facility | None | $398.11 | $501.19 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $245.47 Median $316.23 Typical High $660.69 | Professional | None | $245.47 | $316.23 | $660.69 |
Florida Blue Setting Facility Modifier None Typical Low $10,000.00 Median $21,877.62 Typical High $33,884.42 | Facility | None | $10,000.00 | $21,877.62 | $33,884.42 |
Florida Blue Setting Professional Modifier None Typical Low $457.09 Median $478.63 Typical High $2,511.89 | Professional | None | $457.09 | $478.63 | $2,511.89 |
Molina Setting Professional Modifier None Typical Low $50.12 Median $50.12 Typical High $50.12 | Professional | None | $50.12 | $50.12 | $50.12 |
United Setting Facility Modifier None Typical Low $371.54 Median $954.99 Typical High $7,585.78 | Facility | None | $371.54 | $954.99 | $7,585.78 |
United Setting Professional Modifier None Typical Low $295.12 Median $512.86 Typical High $1,096.48 | Professional | None | $295.12 | $512.86 | $1,096.48 |
Wellpoint Setting Professional Modifier None Typical Low $416.87 Median $416.87 Typical High $478.63 | Professional | None | $416.87 | $416.87 | $478.63 |
1 more rate 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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier 51 · Multiple procedures Typical Low $537.03 Median $537.03 Typical High $537.03 | Professional | 51 · Multiple procedures | $537.03 | $537.03 | $537.03 |
Where Florida sits
The same service costs 9.8 times more in Indiana than in Hawaii. 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· 23rd of 51
$550
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.