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 $34.67 Typical High $38.90 | Facility | None | $30.90 | $34.67 | $38.90 |
Aetna Setting Professional Modifier None Typical Low $30.90 Median $34.67 Typical High $38.90 | Professional | None | $30.90 | $34.67 | $38.90 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.68 Median $5.37 Typical High $5.75 | Professional | 55 · Aftercare only | $4.68 | $5.37 | $5.75 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.09 Median $3.55 Typical High $3.89 | Professional | 56 · Pre-op care only | $3.09 | $3.55 | $3.89 |
Aetna Setting Professional Modifier RR · Rental Typical Low $3.55 Median $3.55 Typical High $5.01 | Professional | RR · Rental | $3.55 | $3.55 | $5.01 |
AvMed Setting Facility Modifier None Typical Low $67.61 Median $67.61 Typical High $67.61 | Facility | None | $67.61 | $67.61 | $67.61 |
AvMed Setting Professional Modifier None Typical Low $51.29 Median $67.61 Typical High $67.61 | Professional | None | $51.29 | $67.61 | $67.61 |
Cigna Setting Facility Modifier None Typical Low $44.67 Median $44.67 Typical High $54.95 | Facility | None | $44.67 | $44.67 | $54.95 |
Cigna Setting Facility Modifier RR · Rental Typical Low $44.67 Median $44.67 Typical High $44.67 | Facility | RR · Rental | $44.67 | $44.67 | $44.67 |
Cigna Setting Professional Modifier None Typical Low $38.02 Median $38.02 Typical High $38.02 | Professional | None | $38.02 | $38.02 | $38.02 |
Cigna Setting Professional Modifier RR · Rental Typical Low $109.65 Median $109.65 Typical High $109.65 | Professional | RR · Rental | $109.65 | $109.65 | $109.65 |
Florida Blue Setting Professional Modifier None Typical Low $40.74 Median $67.61 Typical High $147.91 | Professional | None | $40.74 | $67.61 | $147.91 |
Molina Setting Professional Modifier None Typical Low $134.90 Median $147.91 Typical High $147.91 | Professional | None | $134.90 | $147.91 | $147.91 |
United Setting Professional Modifier None Typical Low $34.67 Median $39.81 Typical High $60.26 | Professional | None | $34.67 | $39.81 | $60.26 |
Wellpoint Setting Professional Modifier None Typical Low $42.66 Median $42.66 Typical High $67.61 | Professional | None | $42.66 | $42.66 | $67.61 |
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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier MS · Maintenance fee Typical Low $3.55 Median $3.55 Typical High $5.01 | Professional | MS · Maintenance fee | $3.55 | $3.55 | $5.01 |
Where Florida sits
The same service costs 2.5 times more in Wyoming than in Florida. 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· 51st of 51
$38.02
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.