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 $354.81 Median $3,019.95 Typical High $10,964.78 | Facility | None | $354.81 | $3,019.95 | $10,964.78 |
Aetna Setting Professional Modifier None Typical Low $36.31 Median $114.82 Typical High $186.21 | Professional | None | $36.31 | $114.82 | $186.21 |
Ambetter Setting Professional Modifier None Typical Low $134.90 Median $165.96 Typical High $165.96 | Professional | None | $134.90 | $165.96 | $165.96 |
AvMed Setting Facility Modifier None Typical Low $177.83 Median $5,128.61 Typical High $13,182.57 | Facility | None | $177.83 | $5,128.61 | $13,182.57 |
AvMed Setting Professional Modifier None Typical Low $36.31 Median $147.91 Typical High $190.55 | Professional | None | $36.31 | $147.91 | $190.55 |
Cigna Setting Facility Modifier None Typical Low $61.66 Median $61.66 Typical High $323.59 | Facility | None | $61.66 | $61.66 | $323.59 |
Cigna Setting Professional Modifier None Typical Low $30.20 Median $128.82 Typical High $257.04 | Professional | None | $30.20 | $128.82 | $257.04 |
Florida Blue Setting Facility Modifier None Typical Low $51.29 Median $58.88 Typical High $141.25 | Facility | None | $51.29 | $58.88 | $141.25 |
Florida Blue Setting Professional Modifier None Typical Low $109.65 Median $147.91 Typical High $199.53 | Professional | None | $109.65 | $147.91 | $199.53 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $204.17 Typical High $457.09 | Professional | None | $33.11 | $204.17 | $457.09 |
United Setting Facility Modifier None Typical Low $169.82 Median $1,819.70 Typical High $5,248.07 | Facility | None | $169.82 | $1,819.70 | $5,248.07 |
United Setting Professional Modifier None Typical Low $36.31 Median $109.65 Typical High $245.47 | Professional | None | $36.31 | $109.65 | $245.47 |
Wellpoint Setting Professional Modifier None Typical Low $27.54 Median $141.25 Typical High $141.25 | Professional | None | $27.54 | $141.25 | $141.25 |
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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier 50 · Both sides Typical Low $251.19 Median $251.19 Typical High $251.19 | Professional | 50 · Both sides | $251.19 | $251.19 | $251.19 |
Where Florida sits
The same service costs 5.5 times more in Washington than in Indiana. 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· 35th of 51
$132
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.