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 $549.54 Median $3,715.35 Typical High $11,481.54 | Facility | None | $549.54 | $3,715.35 | $11,481.54 |
Aetna Setting Professional Modifier None Typical Low $123.03 Median $154.88 Typical High $208.93 | Professional | None | $123.03 | $154.88 | $208.93 |
AvMed Setting Facility Modifier None Typical Low $426.58 Median $1,698.24 Typical High $9,772.37 | Facility | None | $426.58 | $1,698.24 | $9,772.37 |
AvMed Setting Professional Modifier None Typical Low $131.83 Median $186.21 Typical High $213.80 | Professional | None | $131.83 | $186.21 | $213.80 |
Cigna Setting Facility Modifier None Typical Low $398.11 Median $812.83 Typical High $2,691.53 | Facility | None | $398.11 | $812.83 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $131.83 Median $138.04 Typical High $281.84 | Professional | None | $131.83 | $138.04 | $281.84 |
Florida Blue Setting Facility Modifier None Typical Low $724.44 Median $1,230.27 Typical High $2,238.72 | Facility | None | $724.44 | $1,230.27 | $2,238.72 |
Florida Blue Setting Professional Modifier None Typical Low $79.43 Median $158.49 Typical High $213.80 | Professional | None | $79.43 | $158.49 | $213.80 |
Molina Setting Professional Modifier None Typical Low $134.90 Median $173.78 Typical High $295.12 | Professional | None | $134.90 | $173.78 | $295.12 |
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 $120.23 Median $158.49 Typical High $302.00 | Professional | None | $120.23 | $158.49 | $302.00 |
Wellpoint Setting Professional Modifier None Typical Low $120.23 Median $120.23 Typical High $165.96 | Professional | None | $120.23 | $120.23 | $165.96 |
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 $61.66 Median $77.62 Typical High $102.33 | Professional | 52 · Reduced service | $61.66 | $77.62 | $102.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $30.90 Typical High $40.74 | Professional | 53 · Discontinued | $24.55 | $30.90 | $40.74 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $91.20 Median $117.49 Typical High $154.88 | Professional | 54 · Surgery only | $91.20 | $117.49 | $154.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $18.20 Median $23.44 Typical High $30.90 | Professional | 55 · Aftercare only | $18.20 | $23.44 | $30.90 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.30 Median $15.49 Typical High $20.42 | Professional | 56 · Pre-op care only | $12.30 | $15.49 | $20.42 |
Where Florida sits
The same service costs 4.5 times more in Alaska than in New York. 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· 49th of 51
$174
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.