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 $478.63 Median $3,090.30 Typical High $10,964.78 | Facility | None | $478.63 | $3,090.30 | $10,964.78 |
Aetna Setting Professional Modifier None Typical Low $91.20 Median $158.49 Typical High $269.15 | Professional | None | $91.20 | $158.49 | $269.15 |
AvMed Setting Facility Modifier None Typical Low $144.54 Median $1,513.56 Typical High $9,772.37 | Facility | None | $144.54 | $1,513.56 | $9,772.37 |
AvMed Setting Professional Modifier None Typical Low $107.15 Median $181.97 Typical High $275.42 | Professional | None | $107.15 | $181.97 | $275.42 |
Cigna Setting Facility Modifier None Typical Low $446.68 Median $794.33 Typical High $17,378.01 | Facility | None | $446.68 | $794.33 | $17,378.01 |
Cigna Setting Professional Modifier None Typical Low $87.10 Median $173.78 Typical High $380.19 | Professional | None | $87.10 | $173.78 | $380.19 |
Florida Blue Setting Facility Modifier None Typical Low $64.57 Median $141.25 Typical High $6,309.57 | Facility | None | $64.57 | $141.25 | $6,309.57 |
Florida Blue Setting Professional Modifier None Typical Low $177.83 Median $181.97 Typical High $245.47 | Professional | None | $177.83 | $181.97 | $245.47 |
Molina Setting Professional Modifier None Typical Low $125.89 Median $288.40 Typical High $407.38 | Professional | None | $125.89 | $288.40 | $407.38 |
United Setting Facility Modifier None Typical Low $281.84 Median $660.69 Typical High $4,897.79 | Facility | None | $281.84 | $660.69 | $4,897.79 |
United Setting Professional Modifier None Typical Low $85.11 Median $194.98 Typical High $426.58 | Professional | None | $85.11 | $194.98 | $426.58 |
Wellpoint Setting Professional Modifier None Typical Low $75.86 Median $181.97 Typical High $181.97 | Professional | None | $75.86 | $181.97 | $181.97 |
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 $45.71 Median $79.43 Typical High $125.89 | Professional | 52 · Reduced service | $45.71 | $79.43 | $125.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $31.62 Typical High $51.29 | Professional | 53 · Discontinued | $18.20 | $31.62 | $51.29 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $67.61 Median $120.23 Typical High $190.55 | Professional | 54 · Surgery only | $67.61 | $120.23 | $190.55 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $13.49 Median $23.99 Typical High $38.02 | Professional | 55 · Aftercare only | $13.49 | $23.99 | $38.02 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.12 Median $15.85 Typical High $25.12 | Professional | 56 · Pre-op care only | $9.12 | $15.85 | $25.12 |
Where Florida sits
The same service costs 4.3 times more in Alaska than in Kentucky. 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· 40th of 51
$245
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.