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 $32.36 Median $3,019.95 Typical High $12,022.64 | Facility | None | $32.36 | $3,019.95 | $12,022.64 |
Aetna Setting Professional Modifier None Typical Low $25.70 Median $30.90 Typical High $43.65 | Professional | None | $25.70 | $30.90 | $43.65 |
AvMed Setting Facility Modifier None Typical Low $33.88 Median $2,137.96 Typical High $11,748.98 | Facility | None | $33.88 | $2,137.96 | $11,748.98 |
AvMed Setting Professional Modifier None Typical Low $29.51 Median $33.88 Typical High $42.66 | Professional | None | $29.51 | $33.88 | $42.66 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $66.07 Typical High $724.44 | Facility | None | $50.12 | $66.07 | $724.44 |
Cigna Setting Professional Modifier None Typical Low $23.44 Median $30.20 Typical High $54.95 | Professional | None | $23.44 | $30.20 | $54.95 |
Florida Blue Setting Facility Modifier None Typical Low $34.67 Median $74.13 Typical High $3,981.07 | Facility | None | $34.67 | $74.13 | $3,981.07 |
Florida Blue Setting Professional Modifier None Typical Low $17.78 Median $30.90 Typical High $52.48 | Professional | None | $17.78 | $30.90 | $52.48 |
Molina Setting Professional Modifier None Typical Low $24.55 Median $32.36 Typical High $52.48 | Professional | None | $24.55 | $32.36 | $52.48 |
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 $25.70 Median $33.88 Typical High $60.26 | Professional | None | $25.70 | $33.88 | $60.26 |
Wellpoint Setting Professional Modifier None Typical Low $23.44 Median $38.90 Typical High $38.90 | Professional | None | $23.44 | $38.90 | $38.90 |
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 $12.88 Median $15.49 Typical High $20.42 | Professional | 52 · Reduced service | $12.88 | $15.49 | $20.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.13 Median $6.17 Typical High $8.13 | Professional | 53 · Discontinued | $5.13 | $6.17 | $8.13 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $19.05 Median $23.44 Typical High $30.90 | Professional | 54 · Surgery only | $19.05 | $23.44 | $30.90 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.80 Median $4.68 Typical High $6.17 | Professional | 55 · Aftercare only | $3.80 | $4.68 | $6.17 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.57 Median $3.09 Typical High $4.07 | Professional | 56 · Pre-op care only | $2.57 | $3.09 | $4.07 |
Where Florida sits
The same service costs 3.8 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· 50th of 51
$36.31
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.