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 $851.14 Median $977.24 Typical High $1,071.52 | Facility | None | $851.14 | $977.24 | $1,071.52 |
Aetna Setting Professional Modifier None Typical Low $851.14 Median $1,071.52 Typical High $1,380.38 | Professional | None | $851.14 | $1,071.52 | $1,380.38 |
Ambetter Setting Professional Modifier None Typical Low $1,071.52 Median $1,071.52 Typical High $2,041.74 | Professional | None | $1,071.52 | $1,071.52 | $2,041.74 |
AvMed Setting Facility Modifier None Typical Low $933.25 Median $2,137.96 Typical High $11,748.98 | Facility | None | $933.25 | $2,137.96 | $11,748.98 |
AvMed Setting Professional Modifier None Typical Low $1,000.00 Median $1,202.26 Typical High $1,412.54 | Professional | None | $1,000.00 | $1,202.26 | $1,412.54 |
Cigna Setting Facility Modifier None Typical Low $457.09 Median $1,047.13 Typical High $2,691.53 | Facility | None | $457.09 | $1,047.13 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $870.96 Median $1,174.90 Typical High $2,238.72 | Professional | None | $870.96 | $1,174.90 | $2,238.72 |
Florida Blue Setting Facility Modifier None Typical Low $1,348.96 Median $2,754.23 Typical High $6,309.57 | Facility | None | $1,348.96 | $2,754.23 | $6,309.57 |
Florida Blue Setting Professional Modifier None Typical Low $776.25 Median $870.96 Typical High $1,122.02 | Professional | None | $776.25 | $870.96 | $1,122.02 |
Molina Setting Professional Modifier None Typical Low $891.25 Median $1,258.93 Typical High $2,290.87 | Professional | None | $891.25 | $1,258.93 | $2,290.87 |
United Setting Facility Modifier None Typical Low $371.54 Median $954.99 Typical High $7,585.78 | Facility | None | $371.54 | $954.99 | $7,585.78 |
United Setting Professional Modifier None Typical Low $60.26 Median $1,258.93 Typical High $2,344.23 | Professional | None | $60.26 | $1,258.93 | $2,344.23 |
Wellpoint Setting Professional Modifier None Typical Low $870.96 Median $870.96 Typical High $1,174.90 | Professional | None | $870.96 | $870.96 | $1,174.90 |
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 $426.58 Median $524.81 Typical High $616.60 | Professional | 52 · Reduced service | $426.58 | $524.81 | $616.60 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $169.82 Median $208.93 Typical High $251.19 | Professional | 53 · Discontinued | $169.82 | $208.93 | $251.19 |
Where Florida sits
The same service costs 3.5 times more in Alaska than in Arkansas. 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· 46th of 51
$1,175
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.