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 $758.58 Median $6,025.60 Typical High $12,882.50 | Facility | None | $758.58 | $6,025.60 | $12,882.50 |
Aetna Setting Professional Modifier None Typical Low $371.54 Median $389.05 Typical High $446.68 | Professional | None | $371.54 | $389.05 | $446.68 |
AvMed Setting Facility Modifier None Typical Low $501.19 Median $3,981.07 Typical High $9,772.37 | Facility | None | $501.19 | $3,981.07 | $9,772.37 |
AvMed Setting Professional Modifier None Typical Low $295.12 Median $371.54 Typical High $457.09 | Professional | None | $295.12 | $371.54 | $457.09 |
Cigna Setting Facility Modifier None Typical Low $1,258.93 Median $5,128.61 Typical High $8,128.31 | Facility | None | $1,258.93 | $5,128.61 | $8,128.31 |
Cigna Setting Professional Modifier None Typical Low $288.40 Median $302.00 Typical High $575.44 | Professional | None | $288.40 | $302.00 | $575.44 |
Florida Blue Setting Facility Modifier None Typical Low $1,318.26 Median $2,818.38 Typical High $19,952.62 | Facility | None | $1,318.26 | $2,818.38 | $19,952.62 |
Florida Blue Setting Professional Modifier None Typical Low $213.80 Median $398.11 Typical High $478.63 | Professional | None | $213.80 | $398.11 | $478.63 |
Molina Setting Professional Modifier None Typical Low $288.40 Median $338.84 Typical High $794.33 | Professional | None | $288.40 | $338.84 | $794.33 |
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 $295.12 Median $371.54 Typical High $616.60 | Professional | None | $295.12 | $371.54 | $616.60 |
Wellpoint Setting Professional Modifier None Typical Low $281.84 Median $281.84 Typical High $281.84 | Professional | None | $281.84 | $281.84 | $281.84 |
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 $186.21 Median $194.98 Typical High $223.87 | Professional | 52 · Reduced service | $186.21 | $194.98 | $223.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $74.13 Median $77.62 Typical High $89.13 | Professional | 53 · Discontinued | $74.13 | $77.62 | $89.13 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $281.84 Median $295.12 Typical High $331.13 | Professional | 54 · Surgery only | $281.84 | $295.12 | $331.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $56.23 Median $58.88 Typical High $66.07 | Professional | 55 · Aftercare only | $56.23 | $58.88 | $66.07 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $37.15 Median $38.90 Typical High $44.67 | Professional | 56 · Pre-op care only | $37.15 | $38.90 | $44.67 |
Where Florida sits
The same service costs 4.5 times more in Alaska than in Texas. 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· 49th of 51
$372
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.