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 $3.47 Median $5.25 Typical High $5.89 | Facility | None | $3.47 | $5.25 | $5.89 |
Aetna Setting Professional Modifier None Typical Low $3.47 Median $5.25 Typical High $5.89 | Professional | None | $3.47 | $5.25 | $5.89 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.52 Median $0.79 Typical High $0.89 | Professional | 55 · Aftercare only | $0.52 | $0.79 | $0.89 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.35 Median $0.52 Typical High $0.59 | Professional | 56 · Pre-op care only | $0.35 | $0.52 | $0.59 |
AvMed Setting Facility Modifier None Typical Low $21.38 Median $21.38 Typical High $21.38 | Facility | None | $21.38 | $21.38 | $21.38 |
AvMed Setting Professional Modifier None Typical Low $21.38 Median $21.38 Typical High $21.38 | Professional | None | $21.38 | $21.38 | $21.38 |
Cigna Setting Facility Modifier None Typical Low $7.59 Median $7.59 Typical High $7.59 | Facility | None | $7.59 | $7.59 | $7.59 |
Cigna Setting Professional Modifier None Typical Low $1.29 Median $1.29 Typical High $1.29 | Professional | None | $1.29 | $1.29 | $1.29 |
Florida Blue Setting Professional Modifier None Typical Low $2.88 Median $5.37 Typical High $7.08 | Professional | None | $2.88 | $5.37 | $7.08 |
United Setting Professional Modifier None Typical Low $3.47 Median $4.47 Typical High $60.26 | Professional | None | $3.47 | $4.47 | $60.26 |
Wellpoint Setting Professional Modifier None Typical Low $6.76 Median $6.76 Typical High $10.96 | Professional | None | $6.76 | $6.76 | $10.96 |
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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier Q6 · Substitute physician, paid per time Typical Low $3.72 Median $3.72 Typical High $3.72 | Professional | Q6 · Substitute physician, paid per time | $3.72 | $3.72 | $3.72 |
Where Florida sits
The same service costs 3.2 times more in Montana than in Colorado. 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· 26th of 51
$4.07
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.