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 $112.20 Median $2,884.03 Typical High $10,964.78 | Facility | None | $112.20 | $2,884.03 | $10,964.78 |
Aetna Setting Professional Modifier None Typical Low $70.79 Median $104.71 Typical High $151.36 | Professional | None | $70.79 | $104.71 | $151.36 |
Ambetter Setting Professional Modifier None Typical Low $95.50 Median $162.18 Typical High $234.42 | Professional | None | $95.50 | $162.18 | $234.42 |
AvMed Setting Facility Modifier None Typical Low $95.50 Median $2,137.96 Typical High $11,748.98 | Facility | None | $95.50 | $2,137.96 | $11,748.98 |
AvMed Setting Professional Modifier None Typical Low $83.18 Median $107.15 Typical High $144.54 | Professional | None | $83.18 | $107.15 | $144.54 |
Cigna Setting Facility Modifier None Typical Low $60.26 Median $75.86 Typical High $141.25 | Facility | None | $60.26 | $75.86 | $141.25 |
Cigna Setting Professional Modifier None Typical Low $64.57 Median $100.00 Typical High $204.17 | Professional | None | $64.57 | $100.00 | $204.17 |
Florida Blue Setting Facility Modifier None Typical Low $60.26 Median $134.90 Typical High $4,466.84 | Facility | None | $60.26 | $134.90 | $4,466.84 |
Florida Blue Setting Professional Modifier None Typical Low $87.10 Median $93.33 Typical High $131.83 | Professional | None | $87.10 | $93.33 | $131.83 |
Molina Setting Professional Modifier None Typical Low $75.86 Median $107.15 Typical High $208.93 | Professional | None | $75.86 | $107.15 | $208.93 |
United Setting Facility Modifier None Typical Low $281.84 Median $660.69 Typical High $4,073.80 | Facility | None | $281.84 | $660.69 | $4,073.80 |
United Setting Professional Modifier None Typical Low $66.07 Median $117.49 Typical High $223.87 | Professional | None | $66.07 | $117.49 | $223.87 |
Wellpoint Setting Professional Modifier None Typical Low $56.23 Median $93.33 Typical High $93.33 | Professional | None | $56.23 | $93.33 | $93.33 |
2 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 $35.48 Median $48.98 Typical High $56.23 | Professional | 52 · Reduced service | $35.48 | $48.98 | $56.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.13 Median $19.50 Typical High $22.39 | Professional | 53 · Discontinued | $14.13 | $19.50 | $22.39 |
Where Florida sits
The same service costs 2.8 times more in Alaska 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· 45th of 51
$112
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.