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 $33.88 Median $38.90 Typical High $45.71 | Facility | None | $33.88 | $38.90 | $45.71 |
Aetna Setting Professional Modifier None Typical Low $33.88 Median $38.90 Typical High $50.12 | Professional | None | $33.88 | $38.90 | $50.12 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $16.98 Median $19.50 Typical High $25.12 | Professional | 52 · Reduced service | $16.98 | $19.50 | $25.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.76 Median $7.94 Typical High $10.00 | Professional | 53 · Discontinued | $6.76 | $7.94 | $10.00 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.13 Median $5.89 Typical High $7.41 | Professional | 55 · Aftercare only | $5.13 | $5.89 | $7.41 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.39 Median $3.89 Typical High $5.01 | Professional | 56 · Pre-op care only | $3.39 | $3.89 | $5.01 |
AvMed Setting Facility Modifier None Typical Low $93.33 Median $93.33 Typical High $93.33 | Facility | None | $93.33 | $93.33 | $93.33 |
AvMed Setting Professional Modifier None Typical Low $70.79 Median $93.33 Typical High $93.33 | Professional | None | $70.79 | $93.33 | $93.33 |
Cigna Setting Facility Modifier None Typical Low $64.57 Median $64.57 Typical High $64.57 | Facility | None | $64.57 | $64.57 | $64.57 |
Cigna Setting Professional Modifier None Typical Low $54.95 Median $54.95 Typical High $54.95 | Professional | None | $54.95 | $54.95 | $54.95 |
Florida Blue Setting Professional Modifier None Typical Low $54.95 Median $67.61 Typical High $93.33 | Professional | None | $54.95 | $67.61 | $93.33 |
United Setting Professional Modifier None Typical Low $45.71 Median $47.86 Typical High $60.26 | Professional | None | $45.71 | $47.86 | $60.26 |
Wellpoint Setting Professional Modifier None Typical Low $53.70 Median $53.70 Typical High $93.33 | Professional | None | $53.70 | $53.70 | $93.33 |
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 |
|---|---|---|---|---|---|
Cigna Setting Facility Modifier RR · Rental Typical Low $64.57 Median $64.57 Typical High $64.57 | Facility | RR · Rental | $64.57 | $64.57 | $64.57 |
Where Florida sits
The same service costs 2.5 times more in Hawaii than in Rhode Island. 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· 29th of 51
$54.95
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.