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 $10.47 Median $11.22 Typical High $812.83 | Facility | None | $10.47 | $11.22 | $812.83 |
Aetna Setting Professional Modifier None Typical Low $10.96 Median $11.22 Typical High $13.18 | Professional | None | $10.96 | $11.22 | $13.18 |
AvMed Setting Facility Modifier None Typical Low $234.42 Median $2,137.96 Typical High $11,748.98 | Facility | None | $234.42 | $2,137.96 | $11,748.98 |
AvMed Setting Professional Modifier None Typical Low $9.77 Median $10.00 Typical High $10.72 | Professional | None | $9.77 | $10.00 | $10.72 |
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 $8.32 Median $12.02 Typical High $23.44 | Professional | None | $8.32 | $12.02 | $23.44 |
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 $7.59 Median $8.13 Typical High $13.49 | Professional | None | $7.59 | $8.13 | $13.49 |
Molina Setting Professional Modifier None Typical Low $13.80 Median $50.12 Typical High $70.79 | Professional | None | $13.80 | $50.12 | $70.79 |
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 $10.00 Median $15.14 Typical High $39.81 | Professional | None | $10.00 | $15.14 | $39.81 |
Wellpoint Setting Professional Modifier None Typical Low $10.23 Median $10.23 Typical High $10.72 | Professional | None | $10.23 | $10.23 | $10.72 |
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 $5.50 Median $5.62 Typical High $6.61 | Professional | 52 · Reduced service | $5.50 | $5.62 | $6.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.19 Median $2.24 Typical High $2.63 | Professional | 53 · Discontinued | $2.19 | $2.24 | $2.63 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.66 Median $1.70 Typical High $1.95 | Professional | 55 · Aftercare only | $1.66 | $1.70 | $1.95 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.07 Median $1.12 Typical High $1.32 | Professional | 56 · Pre-op care only | $1.07 | $1.12 | $1.32 |
Where Florida sits
The same service costs 12.3 times more in Florida 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· 1st of 51
$132
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.