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 $562.34 Median $562.34 Typical High $691.83 | Facility | None | $562.34 | $562.34 | $691.83 |
Aetna Setting Professional Modifier None Typical Low $562.34 Median $562.34 Typical High $630.96 | Professional | None | $562.34 | $562.34 | $630.96 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $281.84 Median $281.84 Typical High $288.40 | Professional | 52 · Reduced service | $281.84 | $281.84 | $288.40 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $112.20 Median $112.20 Typical High $114.82 | Professional | 53 · Discontinued | $112.20 | $112.20 | $114.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $85.11 Median $85.11 Typical High $85.11 | Professional | 55 · Aftercare only | $85.11 | $85.11 | $85.11 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $56.23 Median $56.23 Typical High $57.54 | Professional | 56 · Pre-op care only | $56.23 | $56.23 | $57.54 |
AvMed Setting Facility Modifier None Typical Low $660.69 Median $660.69 Typical High $660.69 | Facility | None | $660.69 | $660.69 | $660.69 |
AvMed Setting Professional Modifier None Typical Low $562.34 Median $562.34 Typical High $1,819.70 | Professional | None | $562.34 | $562.34 | $1,819.70 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $851.14 Typical High $1,148.15 | Facility | None | $660.69 | $851.14 | $1,148.15 |
Cigna Setting Professional Modifier None Typical Low $562.34 Median $562.34 Typical High $616.60 | Professional | None | $562.34 | $562.34 | $616.60 |
Florida Blue Setting Facility Modifier None Typical Low $562.34 Median $562.34 Typical High $562.34 | Facility | None | $562.34 | $562.34 | $562.34 |
Florida Blue Setting Professional Modifier None Typical Low $562.34 Median $562.34 Typical High $562.34 | Professional | None | $562.34 | $562.34 | $562.34 |
United Setting Facility Modifier None Typical Low $562.34 Median $562.34 Typical High $562.34 | Facility | None | $562.34 | $562.34 | $562.34 |
United Setting Professional Modifier None Typical Low $660.69 Median $660.69 Typical High $691.83 | Professional | None | $660.69 | $660.69 | $691.83 |
Wellpoint Setting Professional Modifier None Typical Low $562.34 Median $562.34 Typical High $602.56 | Professional | None | $562.34 | $562.34 | $602.56 |
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 JZ · No drug discarded Typical Low $977.24 Median $977.24 Typical High $1,148.15 | Professional | JZ · No drug discarded | $977.24 | $977.24 | $1,148.15 |
Where Florida sits
The same service costs 2.7 times more in Wyoming than in Georgia. 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· 50th of 51
$562
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.