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 $14.13 Median $17.78 Typical High $18.62 | Facility | None | $14.13 | $17.78 | $18.62 |
Aetna Setting Professional Modifier None Typical Low $13.80 Median $17.78 Typical High $18.62 | Professional | None | $13.80 | $17.78 | $18.62 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.04 Median $2.63 Typical High $2.75 | Professional | 55 · Aftercare only | $2.04 | $2.63 | $2.75 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.38 Median $1.78 Typical High $1.82 | Professional | 56 · Pre-op care only | $1.38 | $1.78 | $1.82 |
Ambetter Setting Professional Modifier None Typical Low $20.42 Median $20.42 Typical High $20.42 | Professional | None | $20.42 | $20.42 | $20.42 |
AvMed Setting Facility Modifier None Typical Low $20.89 Median $20.89 Typical High $20.89 | Facility | None | $20.89 | $20.89 | $20.89 |
AvMed Setting Professional Modifier None Typical Low $20.89 Median $24.55 Typical High $25.70 | Professional | None | $20.89 | $24.55 | $25.70 |
Cigna Setting Facility Modifier None Typical Low $35.48 Median $35.48 Typical High $35.48 | Facility | None | $35.48 | $35.48 | $35.48 |
Cigna Setting Professional Modifier None Typical Low $15.14 Median $15.14 Typical High $15.14 | Professional | None | $15.14 | $15.14 | $15.14 |
Florida Blue Setting Facility Modifier None Typical Low $24.55 Median $24.55 Typical High $27.54 | Facility | None | $24.55 | $24.55 | $27.54 |
Florida Blue Setting Professional Modifier None Typical Low $7.76 Median $15.49 Typical High $24.55 | Professional | None | $7.76 | $15.49 | $24.55 |
Molina Setting Professional Modifier None Typical Low $20.42 Median $20.42 Typical High $20.42 | Professional | None | $20.42 | $20.42 | $20.42 |
United Setting Professional Modifier None Typical Low $13.18 Median $17.38 Typical High $60.26 | Professional | None | $13.18 | $17.38 | $60.26 |
Wellpoint Setting Professional Modifier None Typical Low $18.62 Median $18.62 Typical High $25.70 | Professional | None | $18.62 | $18.62 | $25.70 |
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 KX · Policy requirements met Typical Low $20.42 Median $20.42 Typical High $20.42 | Professional | KX · Policy requirements met | $20.42 | $20.42 | $20.42 |
Where Florida sits
The same service costs 2.5 times more in Hawaii 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· 31st of 51
$15.85
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.