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 $776.25 Median $3,890.45 Typical High $12,022.64 | Facility | None | $776.25 | $3,890.45 | $12,022.64 |
Aetna Setting Professional Modifier None Typical Low $1,122.02 Median $1,513.56 Typical High $1,995.26 | Professional | None | $1,122.02 | $1,513.56 | $1,995.26 |
AvMed Setting Facility Modifier None Typical Low $1,258.93 Median $2,137.96 Typical High $11,748.98 | Facility | None | $1,258.93 | $2,137.96 | $11,748.98 |
AvMed Setting Professional Modifier None Typical Low $1,258.93 Median $1,548.82 Typical High $1,905.46 | Professional | None | $1,258.93 | $1,548.82 | $1,905.46 |
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 $1,148.15 Median $1,659.59 Typical High $3,388.44 | Professional | None | $1,148.15 | $1,659.59 | $3,388.44 |
Florida Blue Setting Facility Modifier None Typical Low $10,471.29 Median $22,387.21 Typical High $33,884.42 | Facility | None | $10,471.29 | $22,387.21 | $33,884.42 |
Florida Blue Setting Professional Modifier None Typical Low $1,096.48 Median $1,148.15 Typical High $1,513.56 | Professional | None | $1,096.48 | $1,148.15 | $1,513.56 |
Molina Setting Professional Modifier None Typical Low $1,202.26 Median $1,621.81 Typical High $2,238.72 | Professional | None | $1,202.26 | $1,621.81 | $2,238.72 |
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 $54.95 Median $1,819.70 Typical High $4,265.80 | Professional | None | $54.95 | $1,819.70 | $4,265.80 |
Wellpoint Setting Professional Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $1,659.59 | Professional | None | $1,122.02 | $1,122.02 | $1,659.59 |
5 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 $562.34 Median $758.58 Typical High $954.99 | Professional | 52 · Reduced service | $562.34 | $758.58 | $954.99 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $223.87 Median $302.00 Typical High $389.05 | Professional | 53 · Discontinued | $223.87 | $302.00 | $389.05 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $851.14 Median $1,122.02 Typical High $1,445.44 | Professional | 54 · Surgery only | $851.14 | $1,122.02 | $1,445.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $169.82 Median $223.87 Typical High $288.40 | Professional | 55 · Aftercare only | $169.82 | $223.87 | $288.40 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $112.20 Median $151.36 Typical High $190.55 | Professional | 56 · Pre-op care only | $112.20 | $151.36 | $190.55 |
Where Florida sits
The same service costs 4.7 times more in Alaska than in Delaware. 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· 47th of 51
$1,622
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.