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 $354.81 Median $3,019.95 Typical High $10,964.78 | Facility | None | $354.81 | $3,019.95 | $10,964.78 |
Aetna Setting Professional Modifier None Typical Low $125.89 Median $269.15 Typical High $407.38 | Professional | None | $125.89 | $269.15 | $407.38 |
Ambetter Setting Professional Modifier None Typical Low $288.40 Median $288.40 Typical High $288.40 | Professional | None | $288.40 | $288.40 | $288.40 |
AvMed Setting Facility Modifier None Typical Low $309.03 Median $3,548.13 Typical High $9,772.37 | Facility | None | $309.03 | $3,548.13 | $9,772.37 |
AvMed Setting Professional Modifier None Typical Low $141.25 Median $263.03 Typical High $416.87 | Professional | None | $141.25 | $263.03 | $416.87 |
Cigna Setting Facility Modifier None Typical Low $549.54 Median $1,412.54 Typical High $2,691.53 | Facility | None | $549.54 | $1,412.54 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $104.71 Median $229.09 Typical High $537.03 | Professional | None | $104.71 | $229.09 | $537.03 |
Florida Blue Setting Facility Modifier None Typical Low $1,000.00 Median $1,778.28 Typical High $3,388.44 | Facility | None | $1,000.00 | $1,778.28 | $3,388.44 |
Florida Blue Setting Professional Modifier None Typical Low $218.78 Median $229.09 Typical High $446.68 | Professional | None | $218.78 | $229.09 | $446.68 |
Molina Setting Professional Modifier None Typical Low $154.88 Median $354.81 Typical High $501.19 | Professional | None | $154.88 | $354.81 | $501.19 |
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 $138.04 Median $302.00 Typical High $616.60 | Professional | None | $138.04 | $302.00 | $616.60 |
Wellpoint Setting Professional Modifier None Typical Low $93.33 Median $239.88 Typical High $239.88 | Professional | None | $93.33 | $239.88 | $239.88 |
3 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 54 · Surgery only Typical Low $95.50 Median $190.55 Typical High $269.15 | Professional | 54 · Surgery only | $95.50 | $190.55 | $269.15 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $19.05 Median $38.02 Typical High $53.70 | Professional | 55 · Aftercare only | $19.05 | $38.02 | $53.70 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.59 Median $25.12 Typical High $35.48 | Professional | 56 · Pre-op care only | $12.59 | $25.12 | $35.48 |
Where Florida sits
The same service costs 3.4 times more in Alaska than in Nebraska. 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· 19th of 51
$398
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.