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 $398.11 Median $3,019.95 Typical High $11,481.54 | Facility | None | $398.11 | $3,019.95 | $11,481.54 |
Aetna Setting Professional Modifier None Typical Low $104.71 Median $117.49 Typical High $141.25 | Professional | None | $104.71 | $117.49 | $141.25 |
AvMed Setting Facility Modifier None Typical Low $123.03 Median $2,137.96 Typical High $11,748.98 | Facility | None | $123.03 | $2,137.96 | $11,748.98 |
AvMed Setting Professional Modifier None Typical Low $97.72 Median $123.03 Typical High $144.54 | Professional | None | $97.72 | $123.03 | $144.54 |
Cigna Setting Facility Modifier None Typical Low $239.88 Median $338.84 Typical High $1,659.59 | Facility | None | $239.88 | $338.84 | $1,659.59 |
Cigna Setting Professional Modifier None Typical Low $93.33 Median $97.72 Typical High $177.83 | Professional | None | $93.33 | $97.72 | $177.83 |
Florida Blue Setting Facility Modifier None Typical Low $123.03 Median $269.15 Typical High $3,981.07 | Facility | None | $123.03 | $269.15 | $3,981.07 |
Florida Blue Setting Professional Modifier None Typical Low $58.88 Median $128.82 Typical High $154.88 | Professional | None | $58.88 | $128.82 | $154.88 |
Molina Setting Professional Modifier None Typical Low $77.62 Median $109.65 Typical High $213.80 | Professional | None | $77.62 | $109.65 | $213.80 |
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 $89.13 Median $117.49 Typical High $194.98 | Professional | None | $89.13 | $117.49 | $194.98 |
Wellpoint Setting Professional Modifier None Typical Low $89.13 Median $89.13 Typical High $89.13 | Professional | None | $89.13 | $89.13 | $89.13 |
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 $52.48 Median $58.88 Typical High $70.79 | Professional | 52 · Reduced service | $52.48 | $58.88 | $70.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $23.44 Typical High $28.18 | Professional | 53 · Discontinued | $21.38 | $23.44 | $28.18 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $79.43 Median $89.13 Typical High $107.15 | Professional | 54 · Surgery only | $79.43 | $89.13 | $107.15 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $15.85 Median $17.78 Typical High $21.38 | Professional | 55 · Aftercare only | $15.85 | $17.78 | $21.38 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.47 Median $11.75 Typical High $14.13 | Professional | 56 · Pre-op care only | $10.47 | $11.75 | $14.13 |
Where Florida sits
The same service costs 5.1 times more in Alaska than in Utah. 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
$117
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.