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 $3,801.89 Typical High $10,964.78 | Facility | None | $549.54 | $3,801.89 | $10,964.78 |
Aetna Setting Professional Modifier None Typical Low $85.11 Median $1,023.29 Typical High $2,041.74 | Professional | None | $85.11 | $1,023.29 | $2,041.74 |
AvMed Setting Facility Modifier None Typical Low $630.96 Median $2,137.96 Typical High $11,748.98 | Facility | None | $630.96 | $2,137.96 | $11,748.98 |
AvMed Setting Professional Modifier None Typical Low $85.11 Median $1,096.48 Typical High $1,412.54 | Professional | None | $85.11 | $1,096.48 | $1,412.54 |
Cigna Setting Facility Modifier None Typical Low $489.78 Median $2,691.53 Typical High $4,265.80 | Facility | None | $489.78 | $2,691.53 | $4,265.80 |
Cigna Setting Professional Modifier None Typical Low $69.18 Median $218.78 Typical High $2,290.87 | Professional | None | $69.18 | $218.78 | $2,290.87 |
Florida Blue Setting Facility Modifier None Typical Low $1,318.26 Median $2,754.23 Typical High $16,982.44 | Facility | None | $1,318.26 | $2,754.23 | $16,982.44 |
Florida Blue Setting Professional Modifier None Typical Low $912.01 Median $977.24 Typical High $1,412.54 | Professional | None | $912.01 | $977.24 | $1,412.54 |
Molina Setting Professional Modifier None Typical Low $177.83 Median $1,380.38 Typical High $1,995.26 | Professional | None | $177.83 | $1,380.38 | $1,995.26 |
United Setting Facility Modifier None Typical Low $1,230.27 Median $3,311.31 Typical High $12,589.25 | Facility | None | $1,230.27 | $3,311.31 | $12,589.25 |
United Setting Professional Modifier None Typical Low $75.86 Median $309.03 Typical High $2,754.23 | Professional | None | $75.86 | $309.03 | $2,754.23 |
Wellpoint Setting Professional Modifier None Typical Low $66.07 Median $154.88 Typical High $154.88 | Professional | None | $66.07 | $154.88 | $154.88 |
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 $512.86 Typical High $1,023.29 | Professional | 52 · Reduced service | $42.66 | $512.86 | $1,023.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.98 Median $204.17 Typical High $407.38 | Professional | 53 · Discontinued | $16.98 | $204.17 | $407.38 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $63.10 Median $776.25 Typical High $1,548.82 | Professional | 54 · Surgery only | $63.10 | $776.25 | $1,548.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.59 Median $154.88 Typical High $309.03 | Professional | 55 · Aftercare only | $12.59 | $154.88 | $309.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.51 Median $102.33 Typical High $204.17 | Professional | 56 · Pre-op care only | $8.51 | $102.33 | $204.17 |
Where Florida sits
The same service costs 19.1 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· 22nd of 51
$1,514
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.