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 $0.03 Median $0.03 Typical High $173.78 | Facility | None | $0.03 | $0.03 | $173.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $3.02 Median $10.00 Typical High $19.50 | Professional | None (both parts) | $3.02 | $10.00 | $19.50 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $3.47 Median $5.89 Typical High $10.72 | Professional | None (both parts) | $3.47 | $5.89 | $10.72 |
AvMed Setting Professional Modifier None (both parts) Typical Low $15.14 Median $15.14 Typical High $15.14 | Professional | None (both parts) | $15.14 | $15.14 | $15.14 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $50.12 Typical High $70.79 | Facility | None | $50.12 | $50.12 | $70.79 |
Cigna Setting Professional Modifier None (both parts) Typical Low $12.02 Median $21.88 Typical High $43.65 | Professional | None (both parts) | $12.02 | $21.88 | $43.65 |
Florida Blue Setting Facility Modifier None Typical Low $41.69 Median $72.44 Typical High $107.15 | Facility | None | $41.69 | $72.44 | $107.15 |
Florida Blue Setting Professional Modifier None (both parts) Typical Low $4.68 Median $6.61 Typical High $12.59 | Professional | None (both parts) | $4.68 | $6.61 | $12.59 |
Molina Setting Professional Modifier None (both parts) Typical Low $2.40 Median $9.55 Typical High $12.02 | Professional | None (both parts) | $2.40 | $9.55 | $12.02 |
United Setting Professional Modifier None (both parts) Typical Low $5.89 Median $9.55 Typical High $19.50 | Professional | None (both parts) | $5.89 | $9.55 | $19.50 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $10.96 Median $12.02 Typical High $12.02 | Professional | None (both parts) | $10.96 | $12.02 | $12.02 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $9.55 Median $9.55 Typical High $9.55 | Professional | TC · Technical part | $9.55 | $9.55 | $9.55 |
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 |
|---|---|---|---|---|---|
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $2.40 Median $2.40 Typical High $2.40 | Professional | 26 · Professional part | $2.40 | $2.40 | $2.40 |
Where Florida sits
The same service costs 22.9 times more in Alaska than in Georgia. 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· 37th of 51
$12.02
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.