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 $60.26 Median $60.26 Typical High $77.62 | Facility | None | $60.26 | $60.26 | $77.62 |
Aetna Setting Professional Modifier None Typical Low $60.26 Median $67.61 Typical High $77.62 | Professional | None | $60.26 | $67.61 | $77.62 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $30.20 Median $32.36 Typical High $38.90 | Professional | 52 · Reduced service | $30.20 | $32.36 | $38.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.02 Median $12.88 Typical High $15.49 | Professional | 53 · Discontinued | $12.02 | $12.88 | $15.49 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $9.12 Median $9.77 Typical High $11.48 | Professional | 55 · Aftercare only | $9.12 | $9.77 | $11.48 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.03 Median $6.46 Typical High $7.76 | Professional | 56 · Pre-op care only | $6.03 | $6.46 | $7.76 |
Ambetter Setting Professional Modifier None Typical Low $34.67 Median $134.90 Typical High $151.36 | Professional | None | $34.67 | $134.90 | $151.36 |
AvMed Setting Facility Modifier None Typical Low $147.91 Median $147.91 Typical High $147.91 | Facility | None | $147.91 | $147.91 | $147.91 |
AvMed Setting Professional Modifier None Typical Low $109.65 Median $138.04 Typical High $147.91 | Professional | None | $109.65 | $138.04 | $147.91 |
Cigna Setting Facility Modifier None Typical Low $85.11 Median $89.13 Typical High $89.13 | Facility | None | $85.11 | $89.13 | $89.13 |
Cigna Setting Professional Modifier None Typical Low $64.57 Median $64.57 Typical High $89.13 | Professional | None | $64.57 | $64.57 | $89.13 |
Florida Blue Setting Facility Modifier None Typical Low $275.42 Median $275.42 Typical High $275.42 | Facility | None | $275.42 | $275.42 | $275.42 |
Florida Blue Setting Professional Modifier None Typical Low $89.13 Median $147.91 Typical High $147.91 | Professional | None | $89.13 | $147.91 | $147.91 |
Molina Setting Professional Modifier None Typical Low $63.10 Median $85.11 Typical High $93.33 | Professional | None | $63.10 | $85.11 | $93.33 |
United Setting Facility Modifier None Typical Low $72.44 Median $75.86 Typical High $151.36 | Facility | None | $72.44 | $75.86 | $151.36 |
United Setting Professional Modifier None Typical Low $50.12 Median $70.79 Typical High $79.43 | Professional | None | $50.12 | $70.79 | $79.43 |
Wellpoint Setting Professional Modifier None Typical Low $85.11 Median $85.11 Typical High $147.91 | Professional | None | $85.11 | $85.11 | $147.91 |
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 Professional Modifier RR · Rental Typical Low $8.91 Median $8.91 Typical High $8.91 | Professional | RR · Rental | $8.91 | $8.91 | $8.91 |
Where Florida sits
The same service costs 2.8 times more in Hawaii than in Washington, DC. 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
$72.44
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.