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 $354.81 Median $3,019.95 Typical High $10,964.78 | Facility | None | $354.81 | $3,019.95 | $10,964.78 |
Aetna Setting Professional Modifier None Typical Low $173.78 Median $199.53 Typical High $257.04 | Professional | None | $173.78 | $199.53 | $257.04 |
AvMed Setting Facility Modifier None Typical Low $218.78 Median $1,174.90 Typical High $9,549.93 | Facility | None | $218.78 | $1,174.90 | $9,549.93 |
AvMed Setting Professional Modifier None Typical Low $208.93 Median $234.42 Typical High $288.40 | Professional | None | $208.93 | $234.42 | $288.40 |
Cigna Setting Facility Modifier None Typical Low $165.96 Median $302.00 Typical High $1,659.59 | Facility | None | $165.96 | $302.00 | $1,659.59 |
Cigna Setting Professional Modifier None Typical Low $162.18 Median $234.42 Typical High $446.68 | Professional | None | $162.18 | $234.42 | $446.68 |
Florida Blue Setting Facility Modifier None Typical Low $114.82 Median $251.19 Typical High $3,019.95 | Facility | None | $114.82 | $251.19 | $3,019.95 |
Florida Blue Setting Professional Modifier None Typical Low $173.78 Median $194.98 Typical High $263.03 | Professional | None | $173.78 | $194.98 | $263.03 |
Molina Setting Professional Modifier None Typical Low $257.04 Median $331.13 Typical High $602.56 | Professional | None | $257.04 | $331.13 | $602.56 |
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 $169.82 Median $269.15 Typical High $524.81 | Professional | None | $169.82 | $269.15 | $524.81 |
Wellpoint Setting Professional Modifier None Typical Low $186.21 Median $257.04 Typical High $257.04 | Professional | None | $186.21 | $257.04 | $257.04 |
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 $87.10 Median $100.00 Typical High $125.89 | Professional | 52 · Reduced service | $87.10 | $100.00 | $125.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $34.67 Median $39.81 Typical High $50.12 | Professional | 53 · Discontinued | $34.67 | $39.81 | $50.12 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $128.82 Median $147.91 Typical High $190.55 | Professional | 54 · Surgery only | $128.82 | $147.91 | $190.55 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $26.30 Median $29.51 Typical High $38.02 | Professional | 55 · Aftercare only | $26.30 | $29.51 | $38.02 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $17.38 Median $19.95 Typical High $25.12 | Professional | 56 · Pre-op care only | $17.38 | $19.95 | $25.12 |
Where Florida sits
The same service costs 3.7 times more in Alaska than in Maryland. 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· 45th of 51
$257
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.