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 $512.86 Median $512.86 Typical High $676.08 | Facility | None | $512.86 | $512.86 | $676.08 |
Aetna Setting Professional Modifier None Typical Low $446.68 Median $549.54 Typical High $691.83 | Professional | None | $446.68 | $549.54 | $691.83 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $223.87 Median $263.03 Typical High $338.84 | Professional | 52 · Reduced service | $223.87 | $263.03 | $338.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $89.13 Median $107.15 Typical High $134.90 | Professional | 53 · Discontinued | $89.13 | $107.15 | $134.90 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $67.61 Median $79.43 Typical High $102.33 | Professional | 55 · Aftercare only | $67.61 | $79.43 | $102.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $44.67 Median $53.70 Typical High $67.61 | Professional | 56 · Pre-op care only | $44.67 | $53.70 | $67.61 |
Ambetter Setting Professional Modifier None Typical Low $776.25 Median $776.25 Typical High $776.25 | Professional | None | $776.25 | $776.25 | $776.25 |
AvMed Setting Facility Modifier None Typical Low $794.33 Median $794.33 Typical High $794.33 | Facility | None | $794.33 | $794.33 | $794.33 |
AvMed Setting Professional Modifier None Typical Low $630.96 Median $794.33 Typical High $831.76 | Professional | None | $630.96 | $794.33 | $831.76 |
Cigna Setting Facility Modifier None Typical Low $758.58 Median $758.58 Typical High $758.58 | Facility | None | $758.58 | $758.58 | $758.58 |
Cigna Setting Professional Modifier None Typical Low $549.54 Median $549.54 Typical High $758.58 | Professional | None | $549.54 | $549.54 | $758.58 |
Florida Blue Setting Facility Modifier None Typical Low $1,479.11 Median $1,479.11 Typical High $1,905.46 | Facility | None | $1,479.11 | $1,479.11 | $1,905.46 |
Florida Blue Setting Professional Modifier None Typical Low $478.63 Median $794.33 Typical High $977.24 | Professional | None | $478.63 | $794.33 | $977.24 |
Molina Setting Professional Modifier None Typical Low $537.03 Median $707.95 Typical High $707.95 | Professional | None | $537.03 | $707.95 | $707.95 |
United Setting Facility Modifier None Typical Low $1,230.27 Median $1,230.27 Typical High $1,230.27 | Facility | None | $1,230.27 | $1,230.27 | $1,230.27 |
United Setting Professional Modifier None Typical Low $426.58 Median $616.60 Typical High $776.25 | Professional | None | $426.58 | $616.60 | $776.25 |
Wellpoint Setting Professional Modifier None Typical Low $707.95 Median $707.95 Typical High $794.33 | Professional | None | $707.95 | $707.95 | $794.33 |
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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier KX · Policy requirements met Typical Low $660.69 Median $776.25 Typical High $851.14 | Professional | KX · Policy requirements met | $660.69 | $776.25 | $851.14 |
Where Florida sits
The same service costs 2.6 times more in Hawaii than in Utah. 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· 34th of 51
$617
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.