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 $1,737.80 Median $7,413.10 Typical High $9,549.93 | Facility | None | $1,737.80 | $7,413.10 | $9,549.93 |
Aetna Setting Professional Modifier None Typical Low $1,737.80 Median $1,778.28 Typical High $3,981.07 | Professional | None | $1,737.80 | $1,778.28 | $3,981.07 |
Ambetter Setting Professional Modifier None Typical Low $2,089.30 Median $2,089.30 Typical High $2,089.30 | Professional | None | $2,089.30 | $2,089.30 | $2,089.30 |
AvMed Setting Professional Modifier None Typical Low $1,174.90 Median $1,412.54 Typical High $1,513.56 | Professional | None | $1,174.90 | $1,412.54 | $1,513.56 |
Cigna Setting Facility Modifier None Typical Low $323.59 Median $3,630.78 Typical High $4,786.30 | Facility | None | $323.59 | $3,630.78 | $4,786.30 |
Cigna Setting Professional Modifier None Typical Low $2,290.87 Median $2,290.87 Typical High $2,290.87 | Professional | None | $2,290.87 | $2,290.87 | $2,290.87 |
Florida Blue Setting Facility Modifier None Typical Low $1,905.46 Median $2,041.74 Typical High $2,238.72 | Facility | None | $1,905.46 | $2,041.74 | $2,238.72 |
Florida Blue Setting Professional Modifier None Typical Low $1,023.29 Median $1,380.38 Typical High $1,479.11 | Professional | None | $1,023.29 | $1,380.38 | $1,479.11 |
Molina Setting Professional Modifier None Typical Low $50.12 Median $1,479.11 Typical High $1,479.11 | Professional | None | $50.12 | $1,479.11 | $1,479.11 |
United Setting Facility Modifier None Typical Low $1,659.59 Median $8,128.31 Typical High $13,182.57 | Facility | None | $1,659.59 | $8,128.31 | $13,182.57 |
United Setting Professional Modifier None Typical Low $54.95 Median $1,174.90 Typical High $3,162.28 | Professional | None | $54.95 | $1,174.90 | $3,162.28 |
Wellpoint Setting Professional Modifier None Typical Low $912.01 Median $912.01 Typical High $1,380.38 | Professional | None | $912.01 | $912.01 | $1,380.38 |
5 more rates 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 52 · Reduced service Typical Low $870.96 Median $870.96 Typical High $1,698.24 | Professional | 52 · Reduced service | $870.96 | $870.96 | $1,698.24 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $346.74 Median $346.74 Typical High $676.08 | Professional | 53 · Discontinued | $346.74 | $346.74 | $676.08 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,288.25 Median $1,288.25 Typical High $2,511.89 | Professional | 54 · Surgery only | $1,288.25 | $1,288.25 | $2,511.89 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $263.03 Median $263.03 Typical High $501.19 | Professional | 55 · Aftercare only | $263.03 | $263.03 | $501.19 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $173.78 Median $173.78 Typical High $338.84 | Professional | 56 · Pre-op care only | $173.78 | $173.78 | $338.84 |
Where Florida sits
The same service costs 9.3 times more in Alaska than in Indiana. 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· 43rd of 51
$1,738
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.