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 $257.04 Median $257.04 Typical High $331.13 | Facility | None | $257.04 | $257.04 | $331.13 |
Aetna Setting Professional Modifier None Typical Low $257.04 Median $288.40 Typical High $371.54 | Professional | None | $257.04 | $288.40 | $371.54 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $128.82 Median $144.54 Typical High $186.21 | Professional | 52 · Reduced service | $128.82 | $144.54 | $186.21 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $51.29 Median $57.54 Typical High $74.13 | Professional | 53 · Discontinued | $51.29 | $57.54 | $74.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $38.90 Median $42.66 Typical High $56.23 | Professional | 55 · Aftercare only | $38.90 | $42.66 | $56.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $25.70 Median $28.84 Typical High $37.15 | Professional | 56 · Pre-op care only | $25.70 | $28.84 | $37.15 |
Ambetter Setting Professional Modifier None Typical Low $478.63 Median $478.63 Typical High $478.63 | Professional | None | $478.63 | $478.63 | $478.63 |
AvMed Setting Facility Modifier None Typical Low $630.96 Median $630.96 Typical High $630.96 | Facility | None | $630.96 | $630.96 | $630.96 |
AvMed Setting Professional Modifier None Typical Low $467.74 Median $588.84 Typical High $630.96 | Professional | None | $467.74 | $588.84 | $630.96 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $524.81 Typical High $524.81 | Facility | None | $524.81 | $524.81 | $524.81 |
Cigna Setting Professional Modifier None Typical Low $380.19 Median $380.19 Typical High $524.81 | Professional | None | $380.19 | $380.19 | $524.81 |
Florida Blue Setting Facility Modifier None Typical Low $331.13 Median $1,174.90 Typical High $1,174.90 | Facility | None | $331.13 | $1,174.90 | $1,174.90 |
Florida Blue Setting Professional Modifier None Typical Low $380.19 Median $630.96 Typical High $630.96 | Professional | None | $380.19 | $630.96 | $630.96 |
Molina Setting Professional Modifier None Typical Low $204.17 Median $269.15 Typical High $295.12 | Professional | None | $204.17 | $269.15 | $295.12 |
United Setting Facility Modifier None Typical Low $389.05 Median $416.87 Typical High $851.14 | Facility | None | $389.05 | $416.87 | $851.14 |
United Setting Professional Modifier None Typical Low $251.19 Median $309.03 Typical High $416.87 | Professional | None | $251.19 | $309.03 | $416.87 |
Wellpoint Setting Professional Modifier None Typical Low $269.15 Median $269.15 Typical High $630.96 | Professional | None | $269.15 | $269.15 | $630.96 |
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 $52.48 Median $52.48 Typical High $52.48 | Professional | RR · Rental | $52.48 | $52.48 | $52.48 |
Where Florida sits
The same service costs 2.8 times more in Hawaii than in Maryland. 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· 48th of 51
$363
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.