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 $588.84 Median $4,073.80 Typical High $11,481.54 | Facility | None | $588.84 | $4,073.80 | $11,481.54 |
Aetna Setting Professional Modifier None Typical Low $524.81 Median $562.34 Typical High $691.83 | Professional | None | $524.81 | $562.34 | $691.83 |
AvMed Setting Facility Modifier None Typical Low $512.86 Median $2,137.96 Typical High $11,748.98 | Facility | None | $512.86 | $2,137.96 | $11,748.98 |
AvMed Setting Professional Modifier None Typical Low $478.63 Median $602.56 Typical High $660.69 | Professional | None | $478.63 | $602.56 | $660.69 |
Cigna Setting Facility Modifier None Typical Low $467.74 Median $1,995.26 Typical High $3,162.28 | Facility | None | $467.74 | $1,995.26 | $3,162.28 |
Cigna Setting Professional Modifier None Typical Low $446.68 Median $478.63 Typical High $831.76 | Professional | None | $446.68 | $478.63 | $831.76 |
Florida Blue Setting Facility Modifier None Typical Low $1,230.27 Median $2,630.27 Typical High $16,982.44 | Facility | None | $1,230.27 | $2,630.27 | $16,982.44 |
Florida Blue Setting Professional Modifier None Typical Low $371.54 Median $602.56 Typical High $660.69 | Professional | None | $371.54 | $602.56 | $660.69 |
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 $489.78 Median $724.44 Typical High $1,318.26 | Professional | None | $489.78 | $724.44 | $1,318.26 |
Wellpoint Setting Professional Modifier None Typical Low $100.00 Median $100.00 Typical High $602.56 | Professional | None | $100.00 | $100.00 | $602.56 |
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 $263.03 Median $281.84 Typical High $331.13 | Professional | 52 · Reduced service | $263.03 | $281.84 | $331.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $104.71 Median $112.20 Typical High $131.83 | Professional | 53 · Discontinued | $104.71 | $112.20 | $131.83 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $398.11 Median $416.87 Typical High $501.19 | Professional | 54 · Surgery only | $398.11 | $416.87 | $501.19 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $79.43 Median $83.18 Typical High $100.00 | Professional | 55 · Aftercare only | $79.43 | $83.18 | $100.00 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $52.48 Median $56.23 Typical High $66.07 | Professional | 56 · Pre-op care only | $52.48 | $56.23 | $66.07 |
Where Florida sits
The same service costs 53.7 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· 9th of 51
$1,413
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.