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 $11.48 Median $18.20 Typical High $19.05 | Facility | None | $11.48 | $18.20 | $19.05 |
Aetna Setting Professional Modifier None Typical Low $11.48 Median $17.78 Typical High $19.05 | Professional | None | $11.48 | $17.78 | $19.05 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.70 Median $2.69 Typical High $2.88 | Professional | 55 · Aftercare only | $1.70 | $2.69 | $2.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.12 Median $1.78 Typical High $1.91 | Professional | 56 · Pre-op care only | $1.12 | $1.78 | $1.91 |
AvMed Setting Professional Modifier None Typical Low $19.05 Median $22.91 Typical High $25.70 | Professional | None | $19.05 | $22.91 | $25.70 |
Cigna Setting Facility Modifier None Typical Low $12.02 Median $15.14 Typical High $15.14 | Facility | None | $12.02 | $15.14 | $15.14 |
Cigna Setting Professional Modifier None Typical Low $12.88 Median $12.88 Typical High $15.14 | Professional | None | $12.88 | $12.88 | $15.14 |
Florida Blue Setting Facility Modifier None Typical Low $36.31 Median $74.13 Typical High $114.82 | Facility | None | $36.31 | $74.13 | $114.82 |
Florida Blue Setting Professional Modifier None Typical Low $15.49 Median $25.70 Typical High $25.70 | Professional | None | $15.49 | $25.70 | $25.70 |
Molina Setting Professional Modifier None Typical Low $12.59 Median $16.98 Typical High $18.62 | Professional | None | $12.59 | $16.98 | $18.62 |
United Setting Professional Modifier None Typical Low $9.55 Median $12.59 Typical High $34.67 | Professional | None | $9.55 | $12.59 | $34.67 |
Wellpoint Setting Professional Modifier None Typical Low $16.98 Median $16.98 Typical High $25.70 | Professional | None | $16.98 | $16.98 | $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 $17.78 Median $17.78 Typical High $17.78 | Professional | KX · Policy requirements met | $17.78 | $17.78 | $17.78 |
Where Florida sits
The same service costs 3.5 times more in Hawaii than in Connecticut. 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· 33rd of 51
$14.13
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.