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 $173.78 Median $501.19 Typical High $831.76 | Facility | None | $173.78 | $501.19 | $831.76 |
Aetna Setting Professional Modifier None Typical Low $501.19 Median $562.34 Typical High $831.76 | Professional | None | $501.19 | $562.34 | $831.76 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $251.19 Median $275.42 Typical High $416.87 | Professional | 52 · Reduced service | $251.19 | $275.42 | $416.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $100.00 Median $112.20 Typical High $165.96 | Professional | 53 · Discontinued | $100.00 | $112.20 | $165.96 |
AvMed Setting Facility Modifier None Typical Low $630.96 Median $794.33 Typical High $977.24 | Facility | None | $630.96 | $794.33 | $977.24 |
AvMed Setting Professional Modifier None Typical Low $630.96 Median $794.33 Typical High $794.33 | Professional | None | $630.96 | $794.33 | $794.33 |
Cigna Setting Facility Modifier None Typical Low $446.68 Median $691.83 Typical High $3,235.94 | Facility | None | $446.68 | $691.83 | $3,235.94 |
Cigna Setting Professional Modifier None Typical Low $380.19 Median $645.65 Typical High $1,380.38 | Professional | None | $380.19 | $645.65 | $1,380.38 |
Florida Blue Setting Facility Modifier None Typical Low $1,479.11 Median $1,479.11 Typical High $1,479.11 | Facility | None | $1,479.11 | $1,479.11 | $1,479.11 |
Florida Blue Setting Professional Modifier None Typical Low $478.63 Median $478.63 Typical High $1,000.00 | Professional | None | $478.63 | $478.63 | $1,000.00 |
Molina Setting Professional Modifier None Typical Low $478.63 Median $524.81 Typical High $645.65 | Professional | None | $478.63 | $524.81 | $645.65 |
United Setting Facility Modifier None Typical Low $794.33 Median $794.33 Typical High $794.33 | Facility | None | $794.33 | $794.33 | $794.33 |
United Setting Professional Modifier None Typical Low $275.42 Median $331.13 Typical High $1,000.00 | Professional | None | $275.42 | $331.13 | $1,000.00 |
Wellpoint Setting Professional Modifier None Typical Low $478.63 Median $478.63 Typical High $794.33 | Professional | None | $478.63 | $478.63 | $794.33 |
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 90 · Outside lab Typical Low $794.33 Median $794.33 Typical High $794.33 | Professional | 90 · Outside lab | $794.33 | $794.33 | $794.33 |
Where Florida sits
The same service costs 3.7 times more in Alaska 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· 43rd of 51
$562
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.