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 $380.19 Median $3,090.30 Typical High $10,964.78 | Facility | None | $380.19 | $3,090.30 | $10,964.78 |
Aetna Setting Professional Modifier None Typical Low $144.54 Median $295.12 Typical High $363.08 | Professional | None | $144.54 | $295.12 | $363.08 |
AvMed Setting Facility Modifier None Typical Low $363.08 Median $1,288.25 Typical High $9,549.93 | Facility | None | $363.08 | $1,288.25 | $9,549.93 |
AvMed Setting Professional Modifier None Typical Low $144.54 Median $363.08 Typical High $478.63 | Professional | None | $144.54 | $363.08 | $478.63 |
Cigna Setting Facility Modifier None Typical Low $323.59 Median $1,047.13 Typical High $1,659.59 | Facility | None | $323.59 | $1,047.13 | $1,659.59 |
Cigna Setting Professional Modifier None Typical Low $112.20 Median $281.84 Typical High $436.52 | Professional | None | $112.20 | $281.84 | $436.52 |
Florida Blue Setting Facility Modifier None Typical Low $512.86 Median $1,071.52 Typical High $7,413.10 | Facility | None | $512.86 | $1,071.52 | $7,413.10 |
Florida Blue Setting Professional Modifier None Typical Low $165.96 Median $269.15 Typical High $524.81 | Professional | None | $165.96 | $269.15 | $524.81 |
Molina Setting Professional Modifier None Typical Low $147.91 Median $389.05 Typical High $954.99 | Professional | None | $147.91 | $389.05 | $954.99 |
United Setting Facility Modifier None Typical Low $398.11 Median $1,000.00 Typical High $5,623.41 | Facility | None | $398.11 | $1,000.00 | $5,623.41 |
United Setting Professional Modifier None Typical Low $123.03 Median $263.03 Typical High $446.68 | Professional | None | $123.03 | $263.03 | $446.68 |
Wellpoint Setting Professional Modifier None Typical Low $109.65 Median $213.80 Typical High $213.80 | Professional | None | $109.65 | $213.80 | $213.80 |
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 $72.44 Median $147.91 Typical High $181.97 | Professional | 52 · Reduced service | $72.44 | $147.91 | $181.97 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $58.88 Typical High $72.44 | Professional | 53 · Discontinued | $29.51 | $58.88 | $72.44 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $109.65 Median $218.78 Typical High $269.15 | Professional | 54 · Surgery only | $109.65 | $218.78 | $269.15 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $21.88 Median $44.67 Typical High $53.70 | Professional | 55 · Aftercare only | $21.88 | $44.67 | $53.70 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $14.45 Median $29.51 Typical High $36.31 | Professional | 56 · Pre-op care only | $14.45 | $29.51 | $36.31 |
Where Florida sits
The same service costs 4.5 times more in Alaska than in Washington, DC. 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· 46th of 51
$295
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.