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 $5.89 Median $6.46 Typical High $42.66 | Facility | None | $5.89 | $6.46 | $42.66 |
Aetna Setting Professional Modifier None Typical Low $5.25 Median $6.17 Typical High $13.18 | Professional | None | $5.25 | $6.17 | $13.18 |
Ambetter Setting Professional Modifier None Typical Low $3.47 Median $4.27 Typical High $8.71 | Professional | None | $3.47 | $4.27 | $8.71 |
AvMed Setting Facility Modifier None Typical Low $6.92 Median $8.71 Typical High $10.47 | Facility | None | $6.92 | $8.71 | $10.47 |
AvMed Setting Professional Modifier None Typical Low $4.27 Median $8.71 Typical High $12.30 | Professional | None | $4.27 | $8.71 | $12.30 |
Cigna Setting Facility Modifier None Typical Low $5.25 Median $7.76 Typical High $35.48 | Facility | None | $5.25 | $7.76 | $35.48 |
Cigna Setting Professional Modifier None Typical Low $4.27 Median $7.94 Typical High $15.49 | Professional | None | $4.27 | $7.94 | $15.49 |
Florida Blue Setting Facility Modifier None Typical Low $6.61 Median $15.85 Typical High $41.69 | Facility | None | $6.61 | $15.85 | $41.69 |
Florida Blue Setting Professional Modifier None Typical Low $5.13 Median $5.13 Typical High $8.91 | Professional | None | $5.13 | $5.13 | $8.91 |
Molina Setting Professional Modifier None Typical Low $1.02 Median $4.17 Typical High $6.03 | Professional | None | $1.02 | $4.17 | $6.03 |
United Setting Facility Modifier None Typical Low $8.71 Median $8.71 Typical High $8.71 | Facility | None | $8.71 | $8.71 | $8.71 |
United Setting Professional Modifier None Typical Low $3.89 Median $5.25 Typical High $54.95 | Professional | None | $3.89 | $5.25 | $54.95 |
Wellpoint Setting Professional Modifier None Typical Low $5.13 Median $5.13 Typical High $5.13 | Professional | None | $5.13 | $5.13 | $5.13 |
3 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 $2.57 Median $2.95 Typical High $3.55 | Professional | 52 · Reduced service | $2.57 | $2.95 | $3.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.05 Median $1.17 Typical High $1.41 | Professional | 53 · Discontinued | $1.05 | $1.17 | $1.41 |
Ambetter Setting Professional Modifier QW · Waived lab test Typical Low $3.63 Median $4.27 Typical High $4.79 | Professional | QW · Waived lab test | $3.63 | $4.27 | $4.79 |
Where Florida sits
The same service costs 15.8 times more in Minnesota than in Alabama. 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· 48th of 51
$6.92
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.