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 $407.38 Median $3,090.30 Typical High $11,481.54 | Facility | None | $407.38 | $3,090.30 | $11,481.54 |
Aetna Setting Professional Modifier None Typical Low $302.00 Median $338.84 Typical High $426.58 | Professional | None | $302.00 | $338.84 | $426.58 |
AvMed Setting Facility Modifier None Typical Low $331.13 Median $1,348.96 Typical High $9,772.37 | Facility | None | $331.13 | $1,348.96 | $9,772.37 |
AvMed Setting Professional Modifier None Typical Low $263.03 Median $371.54 Typical High $426.58 | Professional | None | $263.03 | $371.54 | $426.58 |
Cigna Setting Facility Modifier None Typical Low $302.00 Median $812.83 Typical High $2,691.53 | Facility | None | $302.00 | $812.83 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $263.03 Median $281.84 Typical High $575.44 | Professional | None | $263.03 | $281.84 | $575.44 |
Florida Blue Setting Facility Modifier None Typical Low $1,230.27 Median $2,041.74 Typical High $3,715.35 | Facility | None | $1,230.27 | $2,041.74 | $3,715.35 |
Florida Blue Setting Professional Modifier None Typical Low $151.36 Median $323.59 Typical High $426.58 | Professional | None | $151.36 | $323.59 | $426.58 |
Molina Setting Professional Modifier None Typical Low $245.47 Median $295.12 Typical High $524.81 | Professional | None | $245.47 | $295.12 | $524.81 |
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 $251.19 Median $323.59 Typical High $630.96 | Professional | None | $251.19 | $323.59 | $630.96 |
Wellpoint Setting Professional Modifier None Typical Low $251.19 Median $251.19 Typical High $331.13 | Professional | None | $251.19 | $251.19 | $331.13 |
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 $151.36 Median $169.82 Typical High $208.93 | Professional | 52 · Reduced service | $151.36 | $169.82 | $208.93 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $61.66 Median $69.18 Typical High $83.18 | Professional | 53 · Discontinued | $61.66 | $69.18 | $83.18 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $229.09 Median $257.04 Typical High $309.03 | Professional | 54 · Surgery only | $229.09 | $257.04 | $309.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $45.71 Median $51.29 Typical High $61.66 | Professional | 55 · Aftercare only | $45.71 | $51.29 | $61.66 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $30.20 Median $33.88 Typical High $41.69 | Professional | 56 · Pre-op care only | $30.20 | $33.88 | $41.69 |
Where Florida sits
The same service costs 4.9 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· 49th of 51
$339
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.