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 $128.82 Median $2,137.96 Typical High $10,715.19 | Facility | None | $128.82 | $2,137.96 | $10,715.19 |
Aetna Setting Professional Modifier None Typical Low $79.43 Median $204.17 Typical High $269.15 | Professional | None | $79.43 | $204.17 | $269.15 |
Ambetter Setting Professional Modifier None Typical Low $60.26 Median $70.79 Typical High $97.72 | Professional | None | $60.26 | $70.79 | $97.72 |
AvMed Setting Facility Modifier None Typical Low $213.80 Median $4,897.79 Typical High $13,182.57 | Facility | None | $213.80 | $4,897.79 | $13,182.57 |
AvMed Setting Professional Modifier None Typical Low $77.62 Median $177.83 Typical High $251.19 | Professional | None | $77.62 | $177.83 | $251.19 |
Cigna Setting Facility Modifier None Typical Low $131.83 Median $389.05 Typical High $457.09 | Facility | None | $131.83 | $389.05 | $457.09 |
Cigna Setting Professional Modifier None Typical Low $64.57 Median $158.49 Typical High $398.11 | Professional | None | $64.57 | $158.49 | $398.11 |
Florida Blue Setting Facility Modifier None Typical Low $2,238.72 Median $3,311.31 Typical High $6,606.93 | Facility | None | $2,238.72 | $3,311.31 | $6,606.93 |
Florida Blue Setting Professional Modifier None Typical Low $147.91 Median $186.21 Typical High $275.42 | Professional | None | $147.91 | $186.21 | $275.42 |
Molina Setting Professional Modifier None Typical Low $95.50 Median $245.47 Typical High $446.68 | Professional | None | $95.50 | $245.47 | $446.68 |
United Setting Facility Modifier None Typical Low $398.11 Median $2,570.40 Typical High $5,011.87 | Facility | None | $398.11 | $2,570.40 | $5,011.87 |
United Setting Professional Modifier None Typical Low $75.86 Median $190.55 Typical High $407.38 | Professional | None | $75.86 | $190.55 | $407.38 |
Wellpoint Setting Professional Modifier None Typical Low $57.54 Median $165.96 Typical High $165.96 | Professional | None | $57.54 | $165.96 | $165.96 |
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 GC · Resident with teaching physician Typical Low $70.79 Median $70.79 Typical High $75.86 | Professional | GC · Resident with teaching physician | $70.79 | $70.79 | $75.86 |
Where Florida sits
The same service costs 4.1 times more in Minnesota 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· 36th of 51
$186
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.