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 $645.65 Median $4,786.30 Typical High $12,022.64 | Facility | None | $645.65 | $4,786.30 | $12,022.64 |
Aetna Setting Professional Modifier None Typical Low $245.47 Median $251.19 Typical High $316.23 | Professional | None | $245.47 | $251.19 | $316.23 |
AvMed Setting Facility Modifier None Typical Low $263.03 Median $2,137.96 Typical High $11,748.98 | Facility | None | $263.03 | $2,137.96 | $11,748.98 |
AvMed Setting Professional Modifier None Typical Low $229.09 Median $302.00 Typical High $363.08 | Professional | None | $229.09 | $302.00 | $363.08 |
Cigna Setting Facility Modifier None Typical Low $398.11 Median $501.19 Typical High $2,691.53 | Facility | None | $398.11 | $501.19 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $208.93 Median $295.12 Typical High $562.34 | Professional | None | $208.93 | $295.12 | $562.34 |
Florida Blue Setting Facility Modifier None Typical Low $10,471.29 Median $22,387.21 Typical High $33,884.42 | Facility | None | $10,471.29 | $22,387.21 | $33,884.42 |
Florida Blue Setting Professional Modifier None Typical Low $190.55 Median $204.17 Typical High $331.13 | Professional | None | $190.55 | $204.17 | $331.13 |
Molina Setting Professional Modifier None Typical Low $218.78 Median $323.59 Typical High $575.44 | Professional | None | $218.78 | $323.59 | $575.44 |
United Setting Facility Modifier None Typical Low $371.54 Median $954.99 Typical High $7,585.78 | Facility | None | $371.54 | $954.99 | $7,585.78 |
United Setting Professional Modifier None Typical Low $60.26 Median $323.59 Typical High $602.56 | Professional | None | $60.26 | $323.59 | $602.56 |
Wellpoint Setting Professional Modifier None Typical Low $190.55 Median $190.55 Typical High $269.15 | Professional | None | $190.55 | $190.55 | $269.15 |
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 $123.03 Median $125.89 Typical High $151.36 | Professional | 52 · Reduced service | $123.03 | $125.89 | $151.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $48.98 Median $50.12 Typical High $60.26 | Professional | 53 · Discontinued | $48.98 | $50.12 | $60.26 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $181.97 Median $190.55 Typical High $229.09 | Professional | 54 · Surgery only | $181.97 | $190.55 | $229.09 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $36.31 Median $38.02 Typical High $45.71 | Professional | 55 · Aftercare only | $36.31 | $38.02 | $45.71 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $24.55 Median $25.12 Typical High $30.20 | Professional | 56 · Pre-op care only | $24.55 | $25.12 | $30.20 |
Where Florida sits
The same service costs 3.2 times more in Alaska than in Texas. 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· 33rd of 51
$372
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.