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 $645.65 Median $5,011.87 Typical High $11,481.54 | Facility | None | $645.65 | $5,011.87 | $11,481.54 |
Aetna Setting Professional Modifier None Typical Low $309.03 Median $323.59 Typical High $407.38 | Professional | None | $309.03 | $323.59 | $407.38 |
AvMed Setting Facility Modifier None Typical Low $501.19 Median $2,089.30 Typical High $9,772.37 | Facility | None | $501.19 | $2,089.30 | $9,772.37 |
AvMed Setting Professional Modifier None Typical Low $263.03 Median $346.74 Typical High $398.11 | Professional | None | $263.03 | $346.74 | $398.11 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $2,089.30 Typical High $11,481.54 | Facility | None | $512.86 | $2,089.30 | $11,481.54 |
Cigna Setting Professional Modifier None Typical Low $239.88 Median $346.74 Typical High $691.83 | Professional | None | $239.88 | $346.74 | $691.83 |
Florida Blue Setting Facility Modifier None Typical Low $1,047.13 Median $2,089.30 Typical High $16,982.44 | Facility | None | $1,047.13 | $2,089.30 | $16,982.44 |
Florida Blue Setting Professional Modifier None Typical Low $218.78 Median $234.42 Typical High $416.87 | Professional | None | $218.78 | $234.42 | $416.87 |
Molina Setting Professional Modifier None Typical Low $251.19 Median $346.74 Typical High $645.65 | Professional | None | $251.19 | $346.74 | $645.65 |
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 $60.26 Median $389.05 Typical High $724.44 | Professional | None | $60.26 | $389.05 | $724.44 |
Wellpoint Setting Professional Modifier None Typical Low $234.42 Median $234.42 Typical High $316.23 | Professional | None | $234.42 | $234.42 | $316.23 |
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 $154.88 Median $158.49 Typical High $199.53 | Professional | 52 · Reduced service | $154.88 | $158.49 | $199.53 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $61.66 Median $64.57 Typical High $79.43 | Professional | 53 · Discontinued | $61.66 | $64.57 | $79.43 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $234.42 Median $239.88 Typical High $302.00 | Professional | 54 · Surgery only | $234.42 | $239.88 | $302.00 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $46.77 Median $47.86 Typical High $60.26 | Professional | 55 · Aftercare only | $46.77 | $47.86 | $60.26 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $30.90 Median $32.36 Typical High $39.81 | Professional | 56 · Pre-op care only | $30.90 | $32.36 | $39.81 |
Where Florida sits
The same service costs 4.7 times more in Alaska than in New York. 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· 10th of 51
$794
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.