How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $42.66 Median $45.71 Typical High $75.86 | Facility | None | $42.66 | $45.71 | $75.86 |
Aetna Setting Professional Modifier None Typical Low $42.66 Median $72.44 Typical High $85.11 | Professional | None | $42.66 | $72.44 | $85.11 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $21.38 Median $36.31 Typical High $40.74 | Professional | 52 · Reduced service | $21.38 | $36.31 | $40.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.51 Median $14.45 Typical High $16.60 | Professional | 53 · Discontinued | $8.51 | $14.45 | $16.60 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.31 Median $10.72 Typical High $12.30 | Professional | 55 · Aftercare only | $6.31 | $10.72 | $12.30 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.27 Median $7.24 Typical High $8.32 | Professional | 56 · Pre-op care only | $4.27 | $7.24 | $8.32 |
AvMed Setting Professional Modifier None Typical Low $51.29 Median $83.18 Typical High $104.71 | Professional | None | $51.29 | $83.18 | $104.71 |
Cigna Setting Facility Modifier None Typical Low $83.18 Median $83.18 Typical High $83.18 | Facility | None | $83.18 | $83.18 | $83.18 |
Cigna Setting Professional Modifier None Typical Low $39.81 Median $69.18 Typical High $83.18 | Professional | None | $39.81 | $69.18 | $83.18 |
Florida Blue Setting Professional Modifier None Typical Low $32.36 Median $79.43 Typical High $114.82 | Professional | None | $32.36 | $79.43 | $114.82 |
Molina Setting Professional Modifier None Typical Low $70.79 Median $83.18 Typical High $123.03 | Professional | None | $70.79 | $83.18 | $123.03 |
United Setting Professional Modifier None Typical Low $30.20 Median $48.98 Typical High $87.10 | Professional | None | $30.20 | $48.98 | $87.10 |
Wellpoint Setting Professional Modifier None Typical Low $54.95 Median $54.95 Typical High $54.95 | Professional | None | $54.95 | $54.95 | $54.95 |
1 more rate 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 |
|---|---|---|---|---|---|
United Setting Professional Modifier XC Typical Low $501.19 Median $501.19 Typical High $501.19 | Professional | XC | $501.19 | $501.19 | $501.19 |
Where Florida sits
The same service costs 3.0 times more in Alaska than in Florida. 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· 51st of 51
$54.95
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.