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 $22.39 Median $25.12 Typical High $72.44 | Facility | None | $22.39 | $25.12 | $72.44 |
Aetna Setting Professional Modifier None Typical Low $22.39 Median $61.66 Typical High $79.43 | Professional | None | $22.39 | $61.66 | $79.43 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $11.22 Median $20.42 Typical High $39.81 | Professional | 52 · Reduced service | $11.22 | $20.42 | $39.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.47 Median $12.30 Typical High $15.85 | Professional | 53 · Discontinued | $4.47 | $12.30 | $15.85 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.31 Median $6.03 Typical High $12.02 | Professional | 55 · Aftercare only | $3.31 | $6.03 | $12.02 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.24 Median $4.07 Typical High $7.94 | Professional | 56 · Pre-op care only | $2.24 | $4.07 | $7.94 |
AvMed Setting Facility Modifier None Typical Low $26.30 Median $79.43 Typical High $102.33 | Facility | None | $26.30 | $79.43 | $102.33 |
AvMed Setting Professional Modifier None Typical Low $19.05 Median $70.79 Typical High $100.00 | Professional | None | $19.05 | $70.79 | $100.00 |
Cigna Setting Facility Modifier None Typical Low $45.71 Median $45.71 Typical High $45.71 | Facility | None | $45.71 | $45.71 | $45.71 |
Cigna Setting Professional Modifier None Typical Low $21.88 Median $58.88 Typical High $79.43 | Professional | None | $21.88 | $58.88 | $79.43 |
Florida Blue Setting Professional Modifier None Typical Low $29.51 Median $63.10 Typical High $109.65 | Professional | None | $29.51 | $63.10 | $109.65 |
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 $22.91 Median $36.31 Typical High $81.28 | Professional | None | $22.91 | $36.31 | $81.28 |
Wellpoint Setting Professional Modifier None Typical Low $26.30 Median $97.72 Typical High $100.00 | Professional | None | $26.30 | $97.72 | $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 3.5 times more in Hawaii 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· 44th of 51
$47.86
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.