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 $10.96 Median $12.30 Typical High $36.31 | Facility | None | $10.96 | $12.30 | $36.31 |
Aetna Setting Professional Modifier None Typical Low $10.96 Median $11.48 Typical High $13.80 | Professional | None | $10.96 | $11.48 | $13.80 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $5.37 Median $5.75 Typical High $6.92 | Professional | 52 · Reduced service | $5.37 | $5.75 | $6.92 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.19 Median $2.29 Typical High $2.75 | Professional | 53 · Discontinued | $2.19 | $2.29 | $2.75 |
AvMed Setting Facility Modifier None Typical Low $12.88 Median $16.22 Typical High $19.95 | Facility | None | $12.88 | $16.22 | $19.95 |
AvMed Setting Professional Modifier None Typical Low $12.88 Median $16.22 Typical High $19.05 | Professional | None | $12.88 | $16.22 | $19.05 |
Cigna Setting Facility Modifier None Typical Low $10.72 Median $16.22 Typical High $66.07 | Facility | None | $10.72 | $16.22 | $66.07 |
Cigna Setting Professional Modifier None Typical Low $8.13 Median $15.14 Typical High $28.84 | Professional | None | $8.13 | $15.14 | $28.84 |
Florida Blue Setting Facility Modifier None Typical Low $13.80 Median $30.20 Typical High $87.10 | Facility | None | $13.80 | $30.20 | $87.10 |
Florida Blue Setting Professional Modifier None Typical Low $9.77 Median $10.72 Typical High $18.62 | Professional | None | $9.77 | $10.72 | $18.62 |
Molina Setting Professional Modifier None Typical Low $1.95 Median $7.76 Typical High $11.48 | Professional | None | $1.95 | $7.76 | $11.48 |
United Setting Facility Modifier None Typical Low $16.22 Median $16.22 Typical High $16.22 | Facility | None | $16.22 | $16.22 | $16.22 |
United Setting Professional Modifier None Typical Low $5.62 Median $8.91 Typical High $54.95 | Professional | None | $5.62 | $8.91 | $54.95 |
Wellpoint Setting Professional Modifier None Typical Low $9.77 Median $9.77 Typical High $16.22 | Professional | None | $9.77 | $9.77 | $16.22 |
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 $8.71 Median $8.71 Typical High $8.71 | Professional | 90 · Outside lab | $8.71 | $8.71 | $8.71 |
Where Florida sits
The same service costs 3.4 times more in Alaska than in New York. 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· 32nd of 51
$13.80
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.