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 $30.90 Median $35.48 Typical High $72.44 | Facility | None | $30.90 | $35.48 | $72.44 |
Aetna Setting Professional Modifier None Typical Low $30.90 Median $67.61 Typical High $79.43 | Professional | None | $30.90 | $67.61 | $79.43 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $15.14 Median $32.36 Typical High $39.81 | Professional | 52 · Reduced service | $15.14 | $32.36 | $39.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.17 Median $12.88 Typical High $15.85 | Professional | 53 · Discontinued | $6.17 | $12.88 | $15.85 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.57 Median $9.77 Typical High $11.75 | Professional | 55 · Aftercare only | $4.57 | $9.77 | $11.75 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.09 Median $6.46 Typical High $7.94 | Professional | 56 · Pre-op care only | $3.09 | $6.46 | $7.94 |
Ambetter Setting Professional Modifier None Typical Low $104.71 Median $104.71 Typical High $104.71 | Professional | None | $104.71 | $104.71 | $104.71 |
AvMed Setting Facility Modifier None Typical Low $35.48 Median $77.62 Typical High $97.72 | Facility | None | $35.48 | $77.62 | $97.72 |
AvMed Setting Professional Modifier None Typical Low $25.70 Median $69.18 Typical High $97.72 | Professional | None | $25.70 | $69.18 | $97.72 |
Cigna Setting Facility Modifier None Typical Low $61.66 Median $61.66 Typical High $61.66 | Facility | None | $61.66 | $61.66 | $61.66 |
Cigna Setting Professional Modifier None Typical Low $29.51 Median $67.61 Typical High $79.43 | Professional | None | $29.51 | $67.61 | $79.43 |
Florida Blue Setting Professional Modifier None Typical Low $30.90 Median $75.86 Typical High $107.15 | Professional | None | $30.90 | $75.86 | $107.15 |
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 $154.88 Median $165.96 Typical High $165.96 | Facility | None | $154.88 | $165.96 | $165.96 |
United Setting Professional Modifier None Typical Low $30.20 Median $44.67 Typical High $83.18 | Professional | None | $30.20 | $44.67 | $83.18 |
Wellpoint Setting Professional Modifier None Typical Low $35.48 Median $95.50 Typical High $97.72 | Professional | None | $35.48 | $95.50 | $97.72 |
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 2.5 times more in Alaska than in Washington, DC. 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· 46th of 51
$56.23
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.