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 $6.76 Median $7.08 Typical High $8.32 | Facility | None | $6.76 | $7.08 | $8.32 |
Aetna Setting Professional Modifier None Typical Low $6.76 Median $7.24 Typical High $10.47 | Professional | None | $6.76 | $7.24 | $10.47 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $3.39 Median $3.63 Typical High $4.17 | Professional | 52 · Reduced service | $3.39 | $3.63 | $4.17 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.35 Median $1.45 Typical High $1.66 | Professional | 53 · Discontinued | $1.35 | $1.45 | $1.66 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.00 Median $1.07 Typical High $1.26 | Professional | 55 · Aftercare only | $1.00 | $1.07 | $1.26 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.68 Median $0.72 Typical High $0.83 | Professional | 56 · Pre-op care only | $0.68 | $0.72 | $0.83 |
Ambetter Setting Professional Modifier None Typical Low $8.32 Median $8.91 Typical High $9.33 | Professional | None | $8.32 | $8.91 | $9.33 |
AvMed Setting Facility Modifier None Typical Low $19.95 Median $19.95 Typical High $19.95 | Facility | None | $19.95 | $19.95 | $19.95 |
AvMed Setting Professional Modifier None Typical Low $19.95 Median $19.95 Typical High $19.95 | Professional | None | $19.95 | $19.95 | $19.95 |
Cigna Setting Facility Modifier None Typical Low $20.89 Median $20.89 Typical High $21.38 | Facility | None | $20.89 | $20.89 | $21.38 |
Cigna Setting Professional Modifier None Typical Low $15.49 Median $15.49 Typical High $20.89 | Professional | None | $15.49 | $15.49 | $20.89 |
Florida Blue Setting Professional Modifier None Typical Low $11.75 Median $12.88 Typical High $15.85 | Professional | None | $11.75 | $12.88 | $15.85 |
Molina Setting Professional Modifier None Typical Low $39.81 Median $39.81 Typical High $39.81 | Professional | None | $39.81 | $39.81 | $39.81 |
United Setting Professional Modifier None Typical Low $6.46 Median $7.94 Typical High $11.22 | Professional | None | $6.46 | $7.94 | $11.22 |
Wellpoint Setting Professional Modifier None Typical Low $14.45 Median $14.45 Typical High $14.45 | Professional | None | $14.45 | $14.45 | $14.45 |
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 $2.09 Median $2.09 Typical High $2.09 | Professional | RR · Rental | $2.09 | $2.09 | $2.09 |
Where Florida sits
The same service costs 6.2 times more in Wyoming than in North Carolina. 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· 41st of 51
$10.72
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.