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 $2.75 Median $2.95 Typical High $8.71 | Facility | None | $2.75 | $2.95 | $8.71 |
Aetna Setting Professional Modifier None Typical Low $2.45 Median $2.82 Typical High $4.79 | Professional | None | $2.45 | $2.82 | $4.79 |
Ambetter Setting Professional Modifier None Typical Low $1.35 Median $1.58 Typical High $3.16 | Professional | None | $1.35 | $1.58 | $3.16 |
AvMed Setting Facility Modifier None Typical Low $2.51 Median $3.16 Typical High $3.89 | Facility | None | $2.51 | $3.16 | $3.89 |
AvMed Setting Professional Modifier None Typical Low $1.58 Median $3.16 Typical High $4.68 | Professional | None | $1.58 | $3.16 | $4.68 |
Cigna Setting Facility Modifier None Typical Low $2.19 Median $3.89 Typical High $13.18 | Facility | None | $2.19 | $3.89 | $13.18 |
Cigna Setting Professional Modifier None Typical Low $1.95 Median $3.31 Typical High $5.25 | Professional | None | $1.95 | $3.31 | $5.25 |
Florida Blue Setting Facility Modifier None Typical Low $3.31 Median $5.89 Typical High $20.89 | Facility | None | $3.31 | $5.89 | $20.89 |
Florida Blue Setting Professional Modifier None Typical Low $1.91 Median $2.45 Typical High $4.47 | Professional | None | $1.91 | $2.45 | $4.47 |
Molina Setting Professional Modifier None Typical Low $1.55 Median $1.95 Typical High $2.24 | Professional | None | $1.55 | $1.95 | $2.24 |
United Setting Facility Modifier None Typical Low $1.12 Median $1.12 Typical High $3.16 | Facility | None | $1.12 | $1.12 | $3.16 |
United Setting Professional Modifier None Typical Low $1.45 Median $2.69 Typical High $54.95 | Professional | None | $1.45 | $2.69 | $54.95 |
Wellpoint Setting Professional Modifier None Typical Low $1.95 Median $1.95 Typical High $3.16 | Professional | None | $1.95 | $1.95 | $3.16 |
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 $1.29 Median $1.38 Typical High $1.48 | Professional | 52 · Reduced service | $1.29 | $1.38 | $1.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.51 Median $0.55 Typical High $0.59 | Professional | 53 · Discontinued | $0.51 | $0.55 | $0.59 |
Where Florida sits
The same service costs 22.4 times more in Minnesota than in Washington, DC. 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· 40th of 51
$3.16
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.