How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $33.11 Median $41.69 Typical High $114.82 | Facility | None | $33.11 | $41.69 | $114.82 |
Aetna Setting Professional Modifier None Typical Low $33.11 Median $36.31 Typical High $46.77 | Professional | None | $33.11 | $36.31 | $46.77 |
Ambetter Setting Professional Modifier None Typical Low $33.11 Median $34.67 Typical High $38.90 | Professional | None | $33.11 | $34.67 | $38.90 |
AvMed Setting Facility Modifier None Typical Low $33.11 Median $40.74 Typical High $42.66 | Facility | None | $33.11 | $40.74 | $42.66 |
AvMed Setting Professional Modifier None Typical Low $30.90 Median $38.90 Typical High $42.66 | Professional | None | $30.90 | $38.90 | $42.66 |
Cigna Setting Facility Modifier None Typical Low $63.10 Median $63.10 Typical High $645.65 | Facility | None | $63.10 | $63.10 | $645.65 |
Cigna Setting Professional Modifier None Typical Low $27.54 Median $30.90 Typical High $79.43 | Professional | None | $27.54 | $30.90 | $79.43 |
Florida Blue Setting Professional Modifier None Typical Low $28.84 Median $41.69 Typical High $56.23 | Professional | None | $28.84 | $41.69 | $56.23 |
Molina Setting Professional Modifier None Typical Low $24.55 Median $29.51 Typical High $74.13 | Professional | None | $24.55 | $29.51 | $74.13 |
United Setting Professional Modifier None Typical Low $26.92 Median $33.11 Typical High $74.13 | Professional | None | $26.92 | $33.11 | $74.13 |
Wellpoint Setting Professional Modifier None Typical Low $39.81 Median $39.81 Typical High $39.81 | Professional | None | $39.81 | $39.81 | $39.81 |
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 59 · Distinct service Typical Low $23.99 Median $23.99 Typical High $23.99 | Professional | 59 · Distinct service | $23.99 | $23.99 | $23.99 |
Where Florida sits
The same service costs 3.7 times more in Alaska than in Utah. 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· 49th of 51
$34.67
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.