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 $537.03 Median $575.44 Typical High $741.31 | Facility | None | $537.03 | $575.44 | $741.31 |
Aetna Setting Professional Modifier None Typical Low $562.34 Median $741.31 Typical High $1,258.93 | Professional | None | $562.34 | $741.31 | $1,258.93 |
Ambetter Setting Professional Modifier None Typical Low $812.83 Median $1,000.00 Typical High $1,174.90 | Professional | None | $812.83 | $1,000.00 | $1,174.90 |
AvMed Setting Facility Modifier None Typical Low $831.76 Median $2,137.96 Typical High $11,748.98 | Facility | None | $831.76 | $2,137.96 | $11,748.98 |
AvMed Setting Professional Modifier None Typical Low $691.83 Median $891.25 Typical High $1,174.90 | Professional | None | $691.83 | $891.25 | $1,174.90 |
Cigna Setting Facility Modifier None Typical Low $616.60 Median $2,691.53 Typical High $2,691.53 | Facility | None | $616.60 | $2,691.53 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $645.65 Median $851.14 Typical High $1,584.89 | Professional | None | $645.65 | $851.14 | $1,584.89 |
Florida Blue Setting Facility Modifier None Typical Low $1,348.96 Median $2,754.23 Typical High $6,309.57 | Facility | None | $1,348.96 | $2,754.23 | $6,309.57 |
Florida Blue Setting Professional Modifier None Typical Low $630.96 Median $776.25 Typical High $1,047.13 | Professional | None | $630.96 | $776.25 | $1,047.13 |
Molina Setting Professional Modifier None Typical Low $870.96 Median $1,202.26 Typical High $2,238.72 | Professional | None | $870.96 | $1,202.26 | $2,238.72 |
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 $512.86 Median $851.14 Typical High $1,698.24 | Professional | None | $512.86 | $851.14 | $1,698.24 |
Wellpoint Setting Professional Modifier None Typical Low $724.44 Median $1,047.13 Typical High $1,047.13 | Professional | None | $724.44 | $1,047.13 | $1,047.13 |
3 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 $281.84 Median $346.74 Typical High $457.09 | Professional | 52 · Reduced service | $281.84 | $346.74 | $457.09 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $85.11 Median $104.71 Typical High $138.04 | Professional | 55 · Aftercare only | $85.11 | $104.71 | $138.04 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $56.23 Median $69.18 Typical High $91.20 | Professional | 56 · Pre-op care only | $56.23 | $69.18 | $91.20 |
Where Florida sits
The same service costs 3.2 times more in Alaska than in Indiana. 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· 36th of 51
$933
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.