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 $14.13 Median $15.85 Typical High $173.78 | Facility | None | $14.13 | $15.85 | $173.78 |
Aetna Setting Professional Modifier None Typical Low $13.49 Median $14.79 Typical High $15.85 | Professional | None | $13.49 | $14.79 | $15.85 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $6.92 Median $7.41 Typical High $7.94 | Professional | 52 · Reduced service | $6.92 | $7.41 | $7.94 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.75 Median $2.95 Typical High $3.24 | Professional | 53 · Discontinued | $2.75 | $2.95 | $3.24 |
AvMed Setting Facility Modifier None Typical Low $13.80 Median $17.38 Typical High $20.89 | Facility | None | $13.80 | $17.38 | $20.89 |
AvMed Setting Professional Modifier None Typical Low $13.80 Median $17.38 Typical High $23.99 | Professional | None | $13.80 | $17.38 | $23.99 |
Cigna Setting Facility Modifier None Typical Low $12.02 Median $21.38 Typical High $69.18 | Facility | None | $12.02 | $21.38 | $69.18 |
Cigna Setting Professional Modifier None Typical Low $9.12 Median $18.20 Typical High $34.67 | Professional | None | $9.12 | $18.20 | $34.67 |
Florida Blue Setting Facility Modifier None Typical Low $17.78 Median $31.62 Typical High $112.20 | Facility | None | $17.78 | $31.62 | $112.20 |
Florida Blue Setting Professional Modifier None Typical Low $10.23 Median $13.49 Typical High $23.99 | Professional | None | $10.23 | $13.49 | $23.99 |
Molina Setting Professional Modifier None Typical Low $2.57 Median $10.23 Typical High $12.88 | Professional | None | $2.57 | $10.23 | $12.88 |
United Setting Facility Modifier None Typical Low $17.38 Median $17.38 Typical High $17.38 | Facility | None | $17.38 | $17.38 | $17.38 |
United Setting Professional Modifier None Typical Low $7.24 Median $10.23 Typical High $54.95 | Professional | None | $7.24 | $10.23 | $54.95 |
Wellpoint Setting Professional Modifier None Typical Low $12.88 Median $12.88 Typical High $17.38 | Professional | None | $12.88 | $12.88 | $17.38 |
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 $10.23 Median $10.23 Typical High $10.23 | Professional | 90 · Outside lab | $10.23 | $10.23 | $10.23 |
Where Florida sits
The same service costs 3.3 times more in Kansas than in Maryland. 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· 31st of 51
$16.60
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.