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 $549.54 Median $3,715.35 Typical High $11,481.54 | Facility | None | $549.54 | $3,715.35 | $11,481.54 |
Aetna Setting Professional Modifier None Typical Low $85.11 Median $87.10 Typical High $123.03 | Professional | None | $85.11 | $87.10 | $123.03 |
AvMed Setting Facility Modifier None Typical Low $89.13 Median $2,137.96 Typical High $11,748.98 | Facility | None | $89.13 | $2,137.96 | $11,748.98 |
AvMed Setting Professional Modifier None Typical Low $72.44 Median $89.13 Typical High $114.82 | Professional | None | $72.44 | $89.13 | $114.82 |
Cigna Setting Facility Modifier None Typical Low $239.88 Median $457.09 Typical High $2,691.53 | Facility | None | $239.88 | $457.09 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $74.13 Median $77.62 Typical High $144.54 | Professional | None | $74.13 | $77.62 | $144.54 |
Florida Blue Setting Facility Modifier None Typical Low $478.63 Median $1,071.52 Typical High $3,981.07 | Facility | None | $478.63 | $1,071.52 | $3,981.07 |
Florida Blue Setting Professional Modifier None Typical Low $48.98 Median $97.72 Typical High $112.20 | Professional | None | $48.98 | $97.72 | $112.20 |
Molina Setting Professional Modifier None Typical Low $77.62 Median $87.10 Typical High $213.80 | Professional | None | $77.62 | $87.10 | $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 $72.44 Median $93.33 Typical High $154.88 | Professional | None | $72.44 | $93.33 | $154.88 |
Wellpoint Setting Professional Modifier None Typical Low $74.13 Median $74.13 Typical High $74.13 | Professional | None | $74.13 | $74.13 | $74.13 |
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 $42.66 Median $43.65 Typical High $61.66 | Professional | 52 · Reduced service | $42.66 | $43.65 | $61.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.98 Median $17.38 Typical High $24.55 | Professional | 53 · Discontinued | $16.98 | $17.38 | $24.55 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $63.10 Median $64.57 Typical High $91.20 | Professional | 54 · Surgery only | $63.10 | $64.57 | $91.20 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.88 Median $12.88 Typical High $18.20 | Professional | 55 · Aftercare only | $12.88 | $12.88 | $18.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.51 Median $8.71 Typical High $12.30 | Professional | 56 · Pre-op care only | $8.51 | $8.71 | $12.30 |
Where Florida sits
The same service costs 4.8 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
$89.13
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.