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 $407.38 Median $3,311.31 Typical High $11,481.54 | Facility | None | $407.38 | $3,311.31 | $11,481.54 |
Aetna Setting Professional Modifier None Typical Low $204.17 Median $229.09 Typical High $269.15 | Professional | None | $204.17 | $229.09 | $269.15 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $102.33 Median $114.82 Typical High $131.83 | Professional | 52 · Reduced service | $102.33 | $114.82 | $131.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $40.74 Median $46.77 Typical High $52.48 | Professional | 53 · Discontinued | $40.74 | $46.77 | $52.48 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $151.36 Median $173.78 Typical High $199.53 | Professional | 54 · Surgery only | $151.36 | $173.78 | $199.53 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $30.90 Median $34.67 Typical High $39.81 | Professional | 55 · Aftercare only | $30.90 | $34.67 | $39.81 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $20.42 Median $22.91 Typical High $26.30 | Professional | 56 · Pre-op care only | $20.42 | $22.91 | $26.30 |
AvMed Setting Facility Modifier None Typical Low $1,380.38 Median $3,467.37 Typical High $12,882.50 | Facility | None | $1,380.38 | $3,467.37 | $12,882.50 |
AvMed Setting Professional Modifier None Typical Low $251.19 Median $251.19 Typical High $251.19 | Professional | None | $251.19 | $251.19 | $251.19 |
Cigna Setting Facility Modifier None Typical Low $331.13 Median $1,621.81 Typical High $2,754.23 | Facility | None | $331.13 | $1,621.81 | $2,754.23 |
Cigna Setting Professional Modifier None Typical Low $177.83 Median $190.55 Typical High $346.74 | Professional | None | $177.83 | $190.55 | $346.74 |
Florida Blue Setting Facility Modifier None Typical Low $389.05 Median $812.83 Typical High $16,982.44 | Facility | None | $389.05 | $812.83 | $16,982.44 |
Florida Blue Setting Professional Modifier None Typical Low $83.18 Median $173.78 Typical High $309.03 | Professional | None | $83.18 | $173.78 | $309.03 |
Molina Setting Professional Modifier None Typical Low $173.78 Median $199.53 Typical High $269.15 | Professional | None | $173.78 | $199.53 | $269.15 |
United Setting Facility Modifier None Typical Low $794.33 Median $1,778.28 Typical High $7,585.78 | Facility | None | $794.33 | $1,778.28 | $7,585.78 |
United Setting Professional Modifier None Typical Low $169.82 Median $218.78 Typical High $363.08 | Professional | None | $169.82 | $218.78 | $363.08 |
Wellpoint Setting Professional Modifier None Typical Low $165.96 Median $165.96 Typical High $165.96 | Professional | None | $165.96 | $165.96 | $165.96 |
1 more rate 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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier 51 · Multiple procedures Typical Low $147.91 Median $147.91 Typical High $295.12 | Professional | 51 · Multiple procedures | $147.91 | $147.91 | $295.12 |
Where Florida sits
The same service costs 4.6 times more in Alaska than in Florida. 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· 51st of 51
$219
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.