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 $85.11 Median $85.11 Typical High $107.15 | Facility | None | $85.11 | $85.11 | $107.15 |
Aetna Setting Professional Modifier None Typical Low $85.11 Median $95.50 Typical High $141.25 | Professional | None | $85.11 | $95.50 | $141.25 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $41.69 Median $46.77 Typical High $56.23 | Professional | 52 · Reduced service | $41.69 | $46.77 | $56.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.98 Median $18.62 Typical High $22.39 | Professional | 53 · Discontinued | $16.98 | $18.62 | $22.39 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.59 Median $14.13 Typical High $16.98 | Professional | 55 · Aftercare only | $12.59 | $14.13 | $16.98 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.51 Median $9.33 Typical High $11.22 | Professional | 56 · Pre-op care only | $8.51 | $9.33 | $11.22 |
Ambetter Setting Professional Modifier None Typical Low $154.88 Median $154.88 Typical High $154.88 | Professional | None | $154.88 | $154.88 | $154.88 |
AvMed Setting Facility Modifier None Typical Low $208.93 Median $208.93 Typical High $208.93 | Facility | None | $208.93 | $208.93 | $208.93 |
AvMed Setting Professional Modifier None Typical Low $151.36 Median $194.98 Typical High $208.93 | Professional | None | $151.36 | $194.98 | $208.93 |
Cigna Setting Facility Modifier None Typical Low $112.20 Median $112.20 Typical High $112.20 | Facility | None | $112.20 | $112.20 | $112.20 |
Cigna Setting Professional Modifier None Typical Low $83.18 Median $83.18 Typical High $112.20 | Professional | None | $83.18 | $83.18 | $112.20 |
Florida Blue Setting Facility Modifier None Typical Low $141.25 Median $380.19 Typical High $380.19 | Facility | None | $141.25 | $380.19 | $380.19 |
Florida Blue Setting Professional Modifier None Typical Low $123.03 Median $208.93 Typical High $208.93 | Professional | None | $123.03 | $208.93 | $208.93 |
Molina Setting Professional Modifier None Typical Low $79.43 Median $107.15 Typical High $117.49 | Professional | None | $79.43 | $107.15 | $117.49 |
United Setting Facility Modifier None Typical Low $97.72 Median $97.72 Typical High $245.47 | Facility | None | $97.72 | $97.72 | $245.47 |
United Setting Professional Modifier None Typical Low $79.43 Median $100.00 Typical High $123.03 | Professional | None | $79.43 | $100.00 | $123.03 |
Wellpoint Setting Professional Modifier None Typical Low $107.15 Median $107.15 Typical High $208.93 | Professional | None | $107.15 | $107.15 | $208.93 |
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 $11.22 Median $11.22 Typical High $11.22 | Professional | RR · Rental | $11.22 | $11.22 | $11.22 |
Where Florida sits
The same service costs 2.3 times more in Hawaii 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· 46th of 51
$105
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.