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 $10.23 Median $20.89 Typical High $26.30 | Facility | None | $10.23 | $20.89 | $26.30 |
Aetna Setting Professional Modifier None Typical Low $10.23 Median $23.44 Typical High $26.30 | Professional | None | $10.23 | $23.44 | $26.30 |
Ambetter Setting Professional Modifier None Typical Low $19.95 Median $19.95 Typical High $19.95 | Professional | None | $19.95 | $19.95 | $19.95 |
AvMed Setting Facility Modifier None Typical Low $24.55 Median $33.11 Typical High $61.66 | Facility | None | $24.55 | $33.11 | $61.66 |
AvMed Setting Professional Modifier None Typical Low $16.98 Median $23.99 Typical High $27.54 | Professional | None | $16.98 | $23.99 | $27.54 |
Cigna Setting Facility Modifier None Typical Low $34.67 Median $34.67 Typical High $34.67 | Facility | None | $34.67 | $34.67 | $34.67 |
Cigna Setting Professional Modifier None Typical Low $23.99 Median $23.99 Typical High $23.99 | Professional | None | $23.99 | $23.99 | $23.99 |
Florida Blue Setting Facility Modifier None Typical Low $41.69 Median $72.44 Typical High $107.15 | Facility | None | $41.69 | $72.44 | $107.15 |
Florida Blue Setting Professional Modifier None Typical Low $12.02 Median $17.38 Typical High $33.11 | Professional | None | $12.02 | $17.38 | $33.11 |
Molina Setting Professional Modifier None Typical Low $24.55 Median $27.54 Typical High $67.61 | Professional | None | $24.55 | $27.54 | $67.61 |
United Setting Professional Modifier None Typical Low $15.14 Median $23.44 Typical High $48.98 | Professional | None | $15.14 | $23.44 | $48.98 |
Wellpoint Setting Professional Modifier None Typical Low $25.70 Median $25.70 Typical High $25.70 | Professional | None | $25.70 | $25.70 | $25.70 |
4 more rates 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 52 · Reduced service Typical Low $5.13 Median $11.75 Typical High $13.18 | Professional | 52 · Reduced service | $5.13 | $11.75 | $13.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.04 Median $4.57 Typical High $5.25 | Professional | 53 · Discontinued | $2.04 | $4.57 | $5.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.55 Median $3.47 Typical High $3.89 | Professional | 55 · Aftercare only | $1.55 | $3.47 | $3.89 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.02 Median $2.34 Typical High $2.63 | Professional | 56 · Pre-op care only | $1.02 | $2.34 | $2.63 |
Where Florida sits
The same service costs 4.1 times more in Wyoming than in Kentucky. 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· 29th of 51
$25.12
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.