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 $20.42 Median $23.44 Typical High $173.78 | Facility | None | $20.42 | $23.44 | $173.78 |
Aetna Setting Professional Modifier None Typical Low $19.95 Median $21.38 Typical High $23.44 | Professional | None | $19.95 | $21.38 | $23.44 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $10.23 Median $10.72 Typical High $11.75 | Professional | 52 · Reduced service | $10.23 | $10.72 | $11.75 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.07 Median $4.37 Typical High $4.68 | Professional | 53 · Discontinued | $4.07 | $4.37 | $4.68 |
AvMed Setting Facility Modifier None Typical Low $20.42 Median $25.70 Typical High $30.90 | Facility | None | $20.42 | $25.70 | $30.90 |
AvMed Setting Professional Modifier None Typical Low $20.42 Median $25.70 Typical High $35.48 | Professional | None | $20.42 | $25.70 | $35.48 |
Cigna Setting Facility Modifier None Typical Low $17.38 Median $30.90 Typical High $104.71 | Facility | None | $17.38 | $30.90 | $104.71 |
Cigna Setting Professional Modifier None Typical Low $13.49 Median $26.92 Typical High $50.12 | Professional | None | $13.49 | $26.92 | $50.12 |
Florida Blue Setting Facility Modifier None Typical Low $25.70 Median $46.77 Typical High $165.96 | Facility | None | $25.70 | $46.77 | $165.96 |
Florida Blue Setting Professional Modifier None Typical Low $15.49 Median $19.95 Typical High $34.67 | Professional | None | $15.49 | $19.95 | $34.67 |
Molina Setting Professional Modifier None Typical Low $4.07 Median $16.22 Typical High $20.42 | Professional | None | $4.07 | $16.22 | $20.42 |
United Setting Facility Modifier None Typical Low $25.70 Median $25.70 Typical High $25.70 | Facility | None | $25.70 | $25.70 | $25.70 |
United Setting Professional Modifier None Typical Low $10.72 Median $15.49 Typical High $54.95 | Professional | None | $10.72 | $15.49 | $54.95 |
Wellpoint Setting Professional Modifier None Typical Low $20.42 Median $20.42 Typical High $25.70 | Professional | None | $20.42 | $20.42 | $25.70 |
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 $15.14 Median $15.14 Typical High $15.14 | Professional | 90 · Outside lab | $15.14 | $15.14 | $15.14 |
Where Florida sits
The same service costs 3.1 times more in Alaska 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· 26th of 51
$24.55
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.