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 $380.19 Median $380.19 Typical High $478.63 | Facility | None | $380.19 | $380.19 | $478.63 |
Aetna Setting Professional Modifier None Typical Low $380.19 Median $416.87 Typical High $575.44 | Professional | None | $380.19 | $416.87 | $575.44 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $190.55 Median $204.17 Typical High $239.88 | Professional | 52 · Reduced service | $190.55 | $204.17 | $239.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $75.86 Median $81.28 Typical High $95.50 | Professional | 53 · Discontinued | $75.86 | $81.28 | $95.50 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $56.23 Median $61.66 Typical High $72.44 | Professional | 55 · Aftercare only | $56.23 | $61.66 | $72.44 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $38.02 Median $40.74 Typical High $47.86 | Professional | 56 · Pre-op care only | $38.02 | $40.74 | $47.86 |
Ambetter Setting Professional Modifier None Typical Low $691.83 Median $691.83 Typical High $691.83 | Professional | None | $691.83 | $691.83 | $691.83 |
AvMed Setting Facility Modifier None Typical Low $933.25 Median $933.25 Typical High $933.25 | Facility | None | $933.25 | $933.25 | $933.25 |
AvMed Setting Professional Modifier None Typical Low $691.83 Median $870.96 Typical High $933.25 | Professional | None | $691.83 | $870.96 | $933.25 |
Cigna Setting Facility Modifier None Typical Low $457.09 Median $457.09 Typical High $457.09 | Facility | None | $457.09 | $457.09 | $457.09 |
Cigna Setting Professional Modifier None Typical Low $338.84 Median $338.84 Typical High $457.09 | Professional | None | $338.84 | $338.84 | $457.09 |
Florida Blue Setting Facility Modifier None Typical Low $1,737.80 Median $1,737.80 Typical High $1,737.80 | Facility | None | $1,737.80 | $1,737.80 | $1,737.80 |
Florida Blue Setting Professional Modifier None Typical Low $562.34 Median $933.25 Typical High $933.25 | Professional | None | $562.34 | $933.25 | $933.25 |
Molina Setting Professional Modifier None Typical Low $446.68 Median $602.56 Typical High $660.69 | Professional | None | $446.68 | $602.56 | $660.69 |
United Setting Facility Modifier None Typical Low $407.38 Median $407.38 Typical High $933.25 | Facility | None | $407.38 | $407.38 | $933.25 |
United Setting Professional Modifier None Typical Low $309.03 Median $446.68 Typical High $489.78 | Professional | None | $309.03 | $446.68 | $489.78 |
Wellpoint Setting Professional Modifier None Typical Low $602.56 Median $602.56 Typical High $933.25 | Professional | None | $602.56 | $602.56 | $933.25 |
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 $45.71 Median $45.71 Typical High $45.71 | Professional | RR · Rental | $45.71 | $45.71 | $45.71 |
Where Florida sits
The same service costs 2.6 times more in Hawaii than in New Hampshire. 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· 26th of 51
$457
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.