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 $70.79 Median $74.13 Typical High $812.83 | Facility | None | $70.79 | $74.13 | $812.83 |
Aetna Setting Professional Modifier None Typical Low $72.44 Median $74.13 Typical High $87.10 | Professional | None | $72.44 | $74.13 | $87.10 |
AvMed Setting Facility Modifier None Typical Low $70.79 Median $2,137.96 Typical High $11,748.98 | Facility | None | $70.79 | $2,137.96 | $11,748.98 |
AvMed Setting Professional Modifier None Typical Low $66.07 Median $67.61 Typical High $72.44 | Professional | None | $66.07 | $67.61 | $72.44 |
Cigna Setting Facility Modifier None Typical Low $302.00 Median $1,174.90 Typical High $1,659.59 | Facility | None | $302.00 | $1,174.90 | $1,659.59 |
Cigna Setting Professional Modifier None Typical Low $56.23 Median $79.43 Typical High $151.36 | Professional | None | $56.23 | $79.43 | $151.36 |
Florida Blue Setting Facility Modifier None Typical Low $123.03 Median $269.15 Typical High $3,981.07 | Facility | None | $123.03 | $269.15 | $3,981.07 |
Florida Blue Setting Professional Modifier None Typical Low $48.98 Median $52.48 Typical High $87.10 | Professional | None | $48.98 | $52.48 | $87.10 |
Molina Setting Professional Modifier None Typical Low $53.70 Median $72.44 Typical High $93.33 | Professional | None | $53.70 | $72.44 | $93.33 |
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 $56.23 Median $87.10 Typical High $169.82 | Professional | None | $56.23 | $87.10 | $169.82 |
Wellpoint Setting Professional Modifier None Typical Low $67.61 Median $67.61 Typical High $69.18 | Professional | None | $67.61 | $67.61 | $69.18 |
4 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 $37.15 Median $37.15 Typical High $42.66 | Professional | 52 · Reduced service | $37.15 | $37.15 | $42.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.79 Median $14.79 Typical High $17.38 | Professional | 53 · Discontinued | $14.79 | $14.79 | $17.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.96 Median $11.22 Typical High $12.88 | Professional | 55 · Aftercare only | $10.96 | $11.22 | $12.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.41 Median $7.41 Typical High $8.71 | Professional | 56 · Pre-op care only | $7.41 | $7.41 | $8.71 |
Where Florida sits
The same service costs 4.5 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· 15th of 51
$138
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.