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 $25.12 Median $38.90 Typical High $588.84 | Facility | None | $25.12 | $38.90 | $588.84 |
Aetna Setting Professional Modifier None Typical Low $25.12 Median $38.90 Typical High $57.54 | Professional | None | $25.12 | $38.90 | $57.54 |
AvMed Setting Facility Modifier None Typical Low $44.67 Median $2,137.96 Typical High $11,748.98 | Facility | None | $44.67 | $2,137.96 | $11,748.98 |
AvMed Setting Professional Modifier None Typical Low $26.30 Median $44.67 Typical High $57.54 | Professional | None | $26.30 | $44.67 | $57.54 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $66.07 Typical High $724.44 | Facility | None | $50.12 | $66.07 | $724.44 |
Cigna Setting Professional Modifier None Typical Low $19.95 Median $42.66 Typical High $85.11 | Professional | None | $19.95 | $42.66 | $85.11 |
Florida Blue Setting Facility Modifier None Typical Low $34.67 Median $70.79 Typical High $2,137.96 | Facility | None | $34.67 | $70.79 | $2,137.96 |
Florida Blue Setting Professional Modifier None Typical Low $34.67 Median $39.81 Typical High $54.95 | Professional | None | $34.67 | $39.81 | $54.95 |
Molina Setting Professional Modifier None Typical Low $25.12 Median $35.48 Typical High $70.79 | Professional | None | $25.12 | $35.48 | $70.79 |
United Setting Facility Modifier None Typical Low $81.28 Median $302.00 Typical High $2,818.38 | Facility | None | $81.28 | $302.00 | $2,818.38 |
United Setting Professional Modifier None Typical Low $25.70 Median $46.77 Typical High $91.20 | Professional | None | $25.70 | $46.77 | $91.20 |
Wellpoint Setting Professional Modifier None Typical Low $17.38 Median $41.69 Typical High $41.69 | Professional | None | $17.38 | $41.69 | $41.69 |
4 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 $12.59 Median $18.20 Typical High $25.70 | Professional | 52 · Reduced service | $12.59 | $18.20 | $25.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.01 Median $7.24 Typical High $10.23 | Professional | 53 · Discontinued | $5.01 | $7.24 | $10.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.80 Median $5.50 Typical High $7.76 | Professional | 55 · Aftercare only | $3.80 | $5.50 | $7.76 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.51 Median $3.63 Typical High $5.13 | Professional | 56 · Pre-op care only | $2.51 | $3.63 | $5.13 |
Where Florida sits
The same service costs 3.5 times more in Wisconsin than in Utah. 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· 48th of 51
$46.77
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.