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 $501.19 Median $524.81 Typical High $676.08 | Professional | None | $501.19 | $524.81 | $676.08 |
AvMed Setting Facility Modifier None Typical Low $457.09 Median $1,698.24 Typical High $9,772.37 | Facility | None | $457.09 | $1,698.24 | $9,772.37 |
AvMed Setting Professional Modifier None Typical Low $436.52 Median $602.56 Typical High $707.95 | Professional | None | $436.52 | $602.56 | $707.95 |
Cigna Setting Facility Modifier None Typical Low $398.11 Median $851.14 Typical High $2,691.53 | Facility | None | $398.11 | $851.14 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $426.58 Median $457.09 Typical High $933.25 | Professional | None | $426.58 | $457.09 | $933.25 |
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 $263.03 Median $524.81 Typical High $707.95 | Professional | None | $263.03 | $524.81 | $707.95 |
Molina Setting Professional Modifier None Typical Low $416.87 Median $501.19 Typical High $870.96 | Professional | None | $416.87 | $501.19 | $870.96 |
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 $407.38 Median $537.03 Typical High $1,023.29 | Professional | None | $407.38 | $537.03 | $1,023.29 |
Wellpoint Setting Professional Modifier None Typical Low $407.38 Median $407.38 Typical High $537.03 | Professional | None | $407.38 | $407.38 | $537.03 |
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 $245.47 Median $263.03 Typical High $338.84 | Professional | 52 · Reduced service | $245.47 | $263.03 | $338.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $100.00 Median $104.71 Typical High $134.90 | Professional | 53 · Discontinued | $100.00 | $104.71 | $134.90 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $371.54 Median $389.05 Typical High $501.19 | Professional | 54 · Surgery only | $371.54 | $389.05 | $501.19 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $74.13 Median $77.62 Typical High $100.00 | Professional | 55 · Aftercare only | $74.13 | $77.62 | $100.00 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $50.12 Median $52.48 Typical High $67.61 | Professional | 56 · Pre-op care only | $50.12 | $52.48 | $67.61 |
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
$537
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.