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 $630.96 Median $4,365.16 Typical High $11,748.98 | Facility | None | $630.96 | $4,365.16 | $11,748.98 |
Aetna Setting Professional Modifier None Typical Low $323.59 Median $1,071.52 Typical High $1,513.56 | Professional | None | $323.59 | $1,071.52 | $1,513.56 |
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 $363.08 Median $1,000.00 Typical High $1,445.44 | Professional | None | $363.08 | $1,000.00 | $1,445.44 |
Cigna Setting Facility Modifier None Typical Low $489.78 Median $2,570.40 Typical High $3,981.07 | Facility | None | $489.78 | $2,570.40 | $3,981.07 |
Cigna Setting Professional Modifier None Typical Low $269.15 Median $891.25 Typical High $2,238.72 | Professional | None | $269.15 | $891.25 | $2,238.72 |
Florida Blue Setting Facility Modifier None Typical Low $1,288.25 Median $2,691.53 Typical High $11,748.98 | Facility | None | $1,288.25 | $2,691.53 | $11,748.98 |
Florida Blue Setting Professional Modifier None Typical Low $831.76 Median $870.96 Typical High $1,862.09 | Professional | None | $831.76 | $870.96 | $1,862.09 |
Molina Setting Professional Modifier None Typical Low $398.11 Median $1,258.93 Typical High $1,737.80 | Professional | None | $398.11 | $1,258.93 | $1,737.80 |
United Setting Facility Modifier None Typical Low $954.99 Median $2,344.23 Typical High $10,000.00 | Facility | None | $954.99 | $2,344.23 | $10,000.00 |
United Setting Professional Modifier None Typical Low $354.81 Median $1,096.48 Typical High $2,884.03 | Professional | None | $354.81 | $1,096.48 | $2,884.03 |
Wellpoint Setting Professional Modifier None Typical Low $239.88 Median $933.25 Typical High $933.25 | Professional | None | $239.88 | $933.25 | $933.25 |
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 $162.18 Median $501.19 Typical High $758.58 | Professional | 52 · Reduced service | $162.18 | $501.19 | $758.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $64.57 Median $204.17 Typical High $302.00 | Professional | 53 · Discontinued | $64.57 | $204.17 | $302.00 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $239.88 Median $758.58 Typical High $1,122.02 | Professional | 54 · Surgery only | $239.88 | $758.58 | $1,122.02 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $48.98 Median $151.36 Typical High $229.09 | Professional | 55 · Aftercare only | $48.98 | $151.36 | $229.09 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $32.36 Median $102.33 Typical High $151.36 | Professional | 56 · Pre-op care only | $32.36 | $102.33 | $151.36 |
Where Florida sits
The same service costs 5.1 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· 25th 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.