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 $22.91 Median $52.48 Typical High $426.58 | Facility | None | $22.91 | $52.48 | $426.58 |
Aetna Setting Professional Modifier None Typical Low $10.96 Median $52.48 Typical High $93.33 | Professional | None | $10.96 | $52.48 | $93.33 |
Ambetter Setting Professional Modifier None Typical Low $21.88 Median $77.62 Typical High $81.28 | Professional | None | $21.88 | $77.62 | $81.28 |
AvMed Setting Facility Modifier None Typical Low $63.10 Median $2,137.96 Typical High $11,748.98 | Facility | None | $63.10 | $2,137.96 | $11,748.98 |
AvMed Setting Professional Modifier None Typical Low $22.91 Median $64.57 Typical High $91.20 | Professional | None | $22.91 | $64.57 | $91.20 |
Cigna Setting Facility Modifier None Typical Low $54.95 Median $74.13 Typical High $457.09 | Facility | None | $54.95 | $74.13 | $457.09 |
Cigna Setting Professional Modifier None Typical Low $18.62 Median $52.48 Typical High $95.50 | Professional | None | $18.62 | $52.48 | $95.50 |
Florida Blue Setting Facility Modifier None Typical Low $34.67 Median $67.61 Typical High $2,187.76 | Facility | None | $34.67 | $67.61 | $2,187.76 |
Florida Blue Setting Professional Modifier None Typical Low $35.48 Median $75.86 Typical High $93.33 | Professional | None | $35.48 | $75.86 | $93.33 |
Molina Setting Professional Modifier None Typical Low $19.95 Median $83.18 Typical High $144.54 | Professional | None | $19.95 | $83.18 | $144.54 |
United Setting Facility Modifier None Typical Low $81.28 Median $302.00 Typical High $2,818.38 | Facility | None | $81.28 | $302.00 | $2,818.38 |
United Setting Professional Modifier None Typical Low $19.05 Median $54.95 Typical High $104.71 | Professional | None | $19.05 | $54.95 | $104.71 |
Wellpoint Setting Professional Modifier None Typical Low $18.20 Median $64.57 Typical High $64.57 | Professional | None | $18.20 | $64.57 | $64.57 |
3 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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier 50 · Both sides Typical Low $114.82 Median $114.82 Typical High $114.82 | Professional | 50 · Both sides | $114.82 | $114.82 | $114.82 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | 59 · Distinct service | $125.89 | $125.89 | $125.89 |
Ambetter Setting Professional Modifier GP · Physical therapy plan Typical Low $77.62 Median $77.62 Typical High $77.62 | Professional | GP · Physical therapy plan | $77.62 | $77.62 | $77.62 |
Where Florida sits
The same service costs 4.2 times more in Alaska than in Virginia. 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
$61.66
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.