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 $47.86 Median $47.86 Typical High $63.10 | Facility | None | $47.86 | $47.86 | $63.10 |
Aetna Setting Professional Modifier None Typical Low $47.86 Median $53.70 Typical High $64.57 | Professional | None | $47.86 | $53.70 | $64.57 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $23.99 Median $26.92 Typical High $32.36 | Professional | 52 · Reduced service | $23.99 | $26.92 | $32.36 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.24 Median $7.94 Typical High $9.77 | Professional | 55 · Aftercare only | $7.24 | $7.94 | $9.77 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.79 Median $5.37 Typical High $6.46 | Professional | 56 · Pre-op care only | $4.79 | $5.37 | $6.46 |
AvMed Setting Facility Modifier None Typical Low $117.49 Median $117.49 Typical High $117.49 | Facility | None | $117.49 | $117.49 | $117.49 |
AvMed Setting Professional Modifier None Typical Low $95.50 Median $117.49 Typical High $117.49 | Professional | None | $95.50 | $117.49 | $117.49 |
Cigna Setting Facility Modifier None Typical Low $70.79 Median $70.79 Typical High $70.79 | Facility | None | $70.79 | $70.79 | $70.79 |
Cigna Setting Professional Modifier None Typical Low $51.29 Median $51.29 Typical High $70.79 | Professional | None | $51.29 | $51.29 | $70.79 |
Florida Blue Setting Facility Modifier None Typical Low $218.78 Median $218.78 Typical High $218.78 | Facility | None | $218.78 | $218.78 | $218.78 |
Florida Blue Setting Professional Modifier None Typical Low $70.79 Median $117.49 Typical High $117.49 | Professional | None | $70.79 | $117.49 | $117.49 |
Molina Setting Professional Modifier None Typical Low $57.54 Median $63.10 Typical High $69.18 | Professional | None | $57.54 | $63.10 | $69.18 |
United Setting Facility Modifier None Typical Low $57.54 Median $63.10 Typical High $141.25 | Facility | None | $57.54 | $63.10 | $141.25 |
United Setting Professional Modifier None Typical Low $45.71 Median $57.54 Typical High $72.44 | Professional | None | $45.71 | $57.54 | $72.44 |
Wellpoint Setting Professional Modifier None Typical Low $63.10 Median $63.10 Typical High $117.49 | Professional | None | $63.10 | $63.10 | $117.49 |
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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.55 Median $10.72 Typical High $12.88 | Professional | 53 · Discontinued | $9.55 | $10.72 | $12.88 |
Where Florida sits
The same service costs 2.4 times more in Montana than in Delaware. 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· 44th of 51
$57.54
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.