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 $630.96 Median $4,786.30 Typical High $11,748.98 | Facility | None | $630.96 | $4,786.30 | $11,748.98 |
Aetna Setting Professional Modifier None Typical Low $239.88 Median $251.19 Typical High $323.59 | Professional | None | $239.88 | $251.19 | $323.59 |
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 $199.53 Median $263.03 Typical High $302.00 | Professional | None | $199.53 | $263.03 | $302.00 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $1,995.26 Typical High $3,311.31 | Facility | None | $501.19 | $1,995.26 | $3,311.31 |
Cigna Setting Professional Modifier None Typical Low $190.55 Median $269.15 Typical High $512.86 | Professional | None | $190.55 | $269.15 | $512.86 |
Florida Blue Setting Facility Modifier None Typical Low $1,047.13 Median $2,137.96 Typical High $16,982.44 | Facility | None | $1,047.13 | $2,137.96 | $16,982.44 |
Florida Blue Setting Professional Modifier None Typical Low $169.82 Median $181.97 Typical High $295.12 | Professional | None | $169.82 | $181.97 | $295.12 |
Molina Setting Professional Modifier None Typical Low $213.80 Median $288.40 Typical High $512.86 | Professional | None | $213.80 | $288.40 | $512.86 |
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 $213.80 Median $309.03 Typical High $575.44 | Professional | None | $213.80 | $309.03 | $575.44 |
Wellpoint Setting Professional Modifier None Typical Low $181.97 Median $181.97 Typical High $239.88 | Professional | None | $181.97 | $181.97 | $239.88 |
3 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 54 · Surgery only Typical Low $177.83 Median $186.21 Typical High $234.42 | Professional | 54 · Surgery only | $177.83 | $186.21 | $234.42 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $35.48 Median $37.15 Typical High $46.77 | Professional | 55 · Aftercare only | $35.48 | $37.15 | $46.77 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $23.99 Median $25.12 Typical High $30.90 | Professional | 56 · Pre-op care only | $23.99 | $25.12 | $30.90 |
Where Florida sits
The same service costs 7.2 times more in Oklahoma 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· 7th 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.