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 $831.76 Median $870.96 Typical High $891.25 | Facility | None | $831.76 | $870.96 | $891.25 |
Aetna Setting Professional Modifier None Typical Low $831.76 Median $891.25 Typical High $1,174.90 | Professional | None | $831.76 | $891.25 | $1,174.90 |
AvMed Setting Facility Modifier None Typical Low $741.31 Median $2,137.96 Typical High $11,748.98 | Facility | None | $741.31 | $2,137.96 | $11,748.98 |
AvMed Setting Professional Modifier None Typical Low $794.33 Median $1,047.13 Typical High $1,258.93 | Professional | None | $794.33 | $1,047.13 | $1,258.93 |
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 $707.95 Median $977.24 Typical High $1,862.09 | Professional | None | $707.95 | $977.24 | $1,862.09 |
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 $660.69 Median $707.95 Typical High $1,148.15 | Professional | None | $660.69 | $707.95 | $1,148.15 |
Molina Setting Professional Modifier None Typical Low $645.65 Median $954.99 Typical High $1,737.80 | Professional | None | $645.65 | $954.99 | $1,737.80 |
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 $1,071.52 Typical High $1,995.26 | Professional | None | $60.26 | $1,071.52 | $1,995.26 |
Wellpoint Setting Professional Modifier None Typical Low $851.14 Median $851.14 Typical High $933.25 | Professional | None | $851.14 | $851.14 | $933.25 |
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 $407.38 Median $436.52 Typical High $524.81 | Professional | 52 · Reduced service | $407.38 | $436.52 | $524.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $165.96 Median $173.78 Typical High $208.93 | Professional | 53 · Discontinued | $165.96 | $173.78 | $208.93 |
Ambetter Setting Professional Modifier 80 · Assistant surgeon Typical Low $204.17 Median $204.17 Typical High $204.17 | Professional | 80 · Assistant surgeon | $204.17 | $204.17 | $204.17 |
Where Florida sits
The same service costs 3.4 times more in Alaska 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· 45th of 51
$1,000
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.