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 $173.78 Median $933.25 Typical High $2,630.27 | Facility | None | $173.78 | $933.25 | $2,630.27 |
Aetna Setting Professional Modifier None (both parts) Typical Low $776.25 Median $851.14 Typical High $977.24 | Professional | None (both parts) | $776.25 | $851.14 | $977.24 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $389.05 Median $426.58 Typical High $524.81 | Professional | 52 · Reduced service | $389.05 | $426.58 | $524.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $154.88 Median $169.82 Typical High $213.80 | Professional | 53 · Discontinued | $154.88 | $169.82 | $213.80 |
AvMed Setting Facility Modifier None Typical Low $1,318.26 Median $1,318.26 Typical High $1,318.26 | Facility | None | $1,318.26 | $1,318.26 | $1,318.26 |
AvMed Setting Professional Modifier None (both parts) Typical Low $1,047.13 Median $1,318.26 Typical High $1,318.26 | Professional | None (both parts) | $1,047.13 | $1,318.26 | $1,318.26 |
Cigna Setting Facility Modifier None Typical Low $676.08 Median $1,000.00 Typical High $5,248.07 | Facility | None | $676.08 | $1,000.00 | $5,248.07 |
Cigna Setting Professional Modifier None (both parts) Typical Low $6,309.57 Median $6,309.57 Typical High $6,309.57 | Professional | None (both parts) | $6,309.57 | $6,309.57 | $6,309.57 |
Florida Blue Setting Facility Modifier None Typical Low $2,398.83 Median $2,398.83 Typical High $2,398.83 | Facility | None | $2,398.83 | $2,398.83 | $2,398.83 |
Florida Blue Setting Professional Modifier None (both parts) Typical Low $776.25 Median $776.25 Typical High $1,122.02 | Professional | None (both parts) | $776.25 | $776.25 | $1,122.02 |
Molina Setting Professional Modifier None (both parts) Typical Low $69.18 Median $69.18 Typical High $93.33 | Professional | None (both parts) | $69.18 | $69.18 | $93.33 |
United Setting Facility Modifier None Typical Low $1,318.26 Median $1,318.26 Typical High $1,318.26 | Facility | None | $1,318.26 | $1,318.26 | $1,318.26 |
United Setting Professional Modifier None (both parts) Typical Low $457.09 Median $562.34 Typical High $1,737.80 | Professional | None (both parts) | $457.09 | $562.34 | $1,737.80 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $69.18 Median $69.18 Typical High $1,318.26 | Professional | None (both parts) | $69.18 | $69.18 | $1,318.26 |
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 26 · Professional part Typical Low $870.96 Median $1,047.13 Typical High $1,513.56 | Professional | 26 · Professional part | $870.96 | $1,047.13 | $1,513.56 |
Where Florida sits
The same service costs 46.8 times more in Alaska than in Alabama. 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· 38th of 51
$851
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.