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 $37.15 Median $42.66 Typical High $77.62 | Facility | None | $37.15 | $42.66 | $77.62 |
Aetna Setting Professional Modifier None Typical Low $37.15 Median $72.44 Typical High $85.11 | Professional | None | $37.15 | $72.44 | $85.11 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $18.62 Median $34.67 Typical High $41.69 | Professional | 52 · Reduced service | $18.62 | $34.67 | $41.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.41 Median $14.13 Typical High $16.98 | Professional | 53 · Discontinued | $7.41 | $14.13 | $16.98 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.62 Median $10.47 Typical High $12.59 | Professional | 55 · Aftercare only | $5.62 | $10.47 | $12.59 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.72 Median $7.08 Typical High $8.51 | Professional | 56 · Pre-op care only | $3.72 | $7.08 | $8.51 |
Ambetter Setting Professional Modifier None Typical Low $109.65 Median $109.65 Typical High $109.65 | Professional | None | $109.65 | $109.65 | $109.65 |
AvMed Setting Facility Modifier None Typical Low $41.69 Median $79.43 Typical High $102.33 | Facility | None | $41.69 | $79.43 | $102.33 |
AvMed Setting Professional Modifier None Typical Low $30.20 Median $70.79 Typical High $100.00 | Professional | None | $30.20 | $70.79 | $100.00 |
Cigna Setting Facility Modifier None Typical Low $72.44 Median $72.44 Typical High $72.44 | Facility | None | $72.44 | $72.44 | $72.44 |
Cigna Setting Professional Modifier None Typical Low $35.48 Median $70.79 Typical High $85.11 | Professional | None | $35.48 | $70.79 | $85.11 |
Florida Blue Setting Professional Modifier None Typical Low $32.36 Median $79.43 Typical High $112.20 | Professional | None | $32.36 | $79.43 | $112.20 |
Molina Setting Professional Modifier None Typical Low $77.62 Median $100.00 Typical High $158.49 | Professional | None | $77.62 | $100.00 | $158.49 |
United Setting Facility Modifier None Typical Low $524.81 Median $562.34 Typical High $562.34 | Facility | None | $524.81 | $562.34 | $562.34 |
United Setting Professional Modifier None Typical Low $30.20 Median $47.86 Typical High $89.13 | Professional | None | $30.20 | $47.86 | $89.13 |
Wellpoint Setting Professional Modifier None Typical Low $41.69 Median $100.00 Typical High $100.00 | Professional | None | $41.69 | $100.00 | $100.00 |
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 2.8 times more in Alaska than in Maryland. 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· 48th of 51
$61.66
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.