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 $91.20 Median $112.20 Typical High $302.00 | Facility | None | $91.20 | $112.20 | $302.00 |
Aetna Setting Professional Modifier None (both parts) Typical Low $91.20 Median $97.72 Typical High $107.15 | Professional | None (both parts) | $91.20 | $97.72 | $107.15 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $44.67 Median $48.98 Typical High $56.23 | Professional | 52 · Reduced service | $44.67 | $48.98 | $56.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $19.50 Typical High $22.39 | Professional | 53 · Discontinued | $18.20 | $19.50 | $22.39 |
AvMed Setting Facility Modifier None Typical Low $123.03 Median $123.03 Typical High $123.03 | Facility | None | $123.03 | $123.03 | $123.03 |
AvMed Setting Professional Modifier None (both parts) Typical Low $97.72 Median $123.03 Typical High $123.03 | Professional | None (both parts) | $97.72 | $123.03 | $123.03 |
Cigna Setting Facility Modifier None Typical Low $85.11 Median $125.89 Typical High $489.78 | Facility | None | $85.11 | $125.89 | $489.78 |
Cigna Setting Professional Modifier None (both parts) Typical Low $87.10 Median $87.10 Typical High $588.84 | Professional | None (both parts) | $87.10 | $87.10 | $588.84 |
Florida Blue Setting Facility Modifier None Typical Low $223.87 Median $223.87 Typical High $223.87 | Facility | None | $223.87 | $223.87 | $223.87 |
Florida Blue Setting Professional Modifier None (both parts) Typical Low $72.44 Median $72.44 Typical High $128.82 | Professional | None (both parts) | $72.44 | $72.44 | $128.82 |
Molina Setting Professional Modifier None (both parts) Typical Low $72.44 Median $72.44 Typical High $97.72 | Professional | None (both parts) | $72.44 | $72.44 | $97.72 |
United Setting Facility Modifier None Typical Low $123.03 Median $123.03 Typical High $123.03 | Facility | None | $123.03 | $123.03 | $123.03 |
United Setting Professional Modifier None (both parts) Typical Low $42.66 Median $63.10 Typical High $173.78 | Professional | None (both parts) | $42.66 | $63.10 | $173.78 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $72.44 Median $72.44 Typical High $123.03 | Professional | None (both parts) | $72.44 | $72.44 | $123.03 |
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 $81.28 Median $97.72 Typical High $141.25 | Professional | 26 · Professional part | $81.28 | $97.72 | $141.25 |
Where Florida sits
The same service costs 9.3 times more in Kentucky 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· 45th of 51
$95.50
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.