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 $457.09 Median $3,090.30 Typical High $11,481.54 | Facility | None | $457.09 | $3,090.30 | $11,481.54 |
Aetna Setting Professional Modifier None Typical Low $407.38 Median $467.74 Typical High $575.44 | Professional | None | $407.38 | $467.74 | $575.44 |
AvMed Setting Facility Modifier None Typical Low $316.23 Median $2,137.96 Typical High $11,748.98 | Facility | None | $316.23 | $2,137.96 | $11,748.98 |
AvMed Setting Professional Modifier None Typical Low $407.38 Median $537.03 Typical High $676.08 | Professional | None | $407.38 | $537.03 | $676.08 |
Cigna Setting Facility Modifier None Typical Low $223.87 Median $323.59 Typical High $1,659.59 | Facility | None | $223.87 | $323.59 | $1,659.59 |
Cigna Setting Professional Modifier None Typical Low $389.05 Median $524.81 Typical High $1,000.00 | Professional | None | $389.05 | $524.81 | $1,000.00 |
Florida Blue Setting Facility Modifier None Typical Low $123.03 Median $251.19 Typical High $3,019.95 | Facility | None | $123.03 | $251.19 | $3,019.95 |
Florida Blue Setting Professional Modifier None Typical Low $354.81 Median $380.19 Typical High $588.84 | Professional | None | $354.81 | $380.19 | $588.84 |
Molina Setting Professional Modifier None Typical Low $389.05 Median $562.34 Typical High $1,023.29 | Professional | None | $389.05 | $562.34 | $1,023.29 |
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 $60.26 Median $575.44 Typical High $1,122.02 | Professional | None | $60.26 | $575.44 | $1,122.02 |
Wellpoint Setting Professional Modifier None Typical Low $467.74 Median $467.74 Typical High $501.19 | Professional | None | $467.74 | $467.74 | $501.19 |
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 $204.17 Median $234.42 Typical High $269.15 | Professional | 52 · Reduced service | $204.17 | $234.42 | $269.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $81.28 Median $93.33 Typical High $107.15 | Professional | 53 · Discontinued | $81.28 | $93.33 | $107.15 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $302.00 Median $346.74 Typical High $398.11 | Professional | 54 · Surgery only | $302.00 | $346.74 | $398.11 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $60.26 Median $69.18 Typical High $79.43 | Professional | 55 · Aftercare only | $60.26 | $69.18 | $79.43 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $40.74 Median $46.77 Typical High $53.70 | Professional | 56 · Pre-op care only | $40.74 | $46.77 | $53.70 |
Where Florida sits
The same service costs 3.5 times more in Alaska than in Arkansas. 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· 50th of 51
$479
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.