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 $776.25 Median $6,456.54 Typical High $15,135.61 | Facility | None | $776.25 | $6,456.54 | $15,135.61 |
Aetna Setting Professional Modifier None Typical Low $524.81 Median $524.81 Typical High $676.08 | Professional | None | $524.81 | $524.81 | $676.08 |
AvMed Setting Facility Modifier None Typical Low $512.86 Median $4,365.16 Typical High $13,182.57 | Facility | None | $512.86 | $4,365.16 | $13,182.57 |
AvMed Setting Professional Modifier None Typical Low $457.09 Median $575.44 Typical High $645.65 | Professional | None | $457.09 | $575.44 | $645.65 |
Cigna Setting Facility Modifier None Typical Low $478.63 Median $9,772.37 Typical High $18,620.87 | Facility | None | $478.63 | $9,772.37 | $18,620.87 |
Cigna Setting Professional Modifier None Typical Low $457.09 Median $630.96 Typical High $1,148.15 | Professional | None | $457.09 | $630.96 | $1,148.15 |
Florida Blue Setting Facility Modifier None Typical Low $2,884.03 Median $5,754.40 Typical High $16,982.44 | Facility | None | $2,884.03 | $5,754.40 | $16,982.44 |
Florida Blue Setting Professional Modifier None Typical Low $398.11 Median $426.58 Typical High $645.65 | Professional | None | $398.11 | $426.58 | $645.65 |
Molina Setting Professional Modifier None Typical Low $60.26 Median $501.19 Typical High $1,023.29 | Professional | None | $60.26 | $501.19 | $1,023.29 |
United Setting Facility Modifier None Typical Low $1,584.89 Median $4,073.80 Typical High $15,848.93 | Facility | None | $1,584.89 | $4,073.80 | $15,848.93 |
United Setting Professional Modifier None Typical Low $501.19 Median $741.31 Typical High $1,348.96 | Professional | None | $501.19 | $741.31 | $1,348.96 |
Wellpoint Setting Professional Modifier None Typical Low $562.34 Median $562.34 Typical High $575.44 | Professional | None | $562.34 | $562.34 | $575.44 |
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 $263.03 Median $263.03 Typical High $323.59 | Professional | 52 · Reduced service | $263.03 | $263.03 | $323.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $104.71 Median $107.15 Typical High $131.83 | Professional | 53 · Discontinued | $104.71 | $107.15 | $131.83 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $398.11 Median $398.11 Typical High $489.78 | Professional | 54 · Surgery only | $398.11 | $398.11 | $489.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $79.43 Median $79.43 Typical High $97.72 | Professional | 55 · Aftercare only | $79.43 | $79.43 | $97.72 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $52.48 Median $52.48 Typical High $64.57 | Professional | 56 · Pre-op care only | $52.48 | $52.48 | $64.57 |
Where Florida sits
The same service costs 11.7 times more in Oklahoma 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· 40th of 51
$741
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.