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 $33.11 Median $38.02 Typical High $173.78 | Facility | None | $33.11 | $38.02 | $173.78 |
Aetna Setting Professional Modifier None Typical Low $33.11 Median $37.15 Typical High $43.65 | Professional | None | $33.11 | $37.15 | $43.65 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $16.60 Median $18.62 Typical High $20.89 | Professional | 52 · Reduced service | $16.60 | $18.62 | $20.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.61 Median $7.41 Typical High $8.32 | Professional | 53 · Discontinued | $6.61 | $7.41 | $8.32 |
AvMed Setting Facility Modifier None Typical Low $38.90 Median $51.29 Typical High $181.97 | Facility | None | $38.90 | $51.29 | $181.97 |
AvMed Setting Professional Modifier None Typical Low $34.67 Median $51.29 Typical High $58.88 | Professional | None | $34.67 | $51.29 | $58.88 |
Cigna Setting Facility Modifier None Typical Low $33.11 Median $50.12 Typical High $208.93 | Facility | None | $33.11 | $50.12 | $208.93 |
Cigna Setting Professional Modifier None Typical Low $24.55 Median $33.11 Typical High $89.13 | Professional | None | $24.55 | $33.11 | $89.13 |
Florida Blue Setting Facility Modifier None Typical Low $95.50 Median $95.50 Typical High $95.50 | Facility | None | $95.50 | $95.50 | $95.50 |
Florida Blue Setting Professional Modifier None Typical Low $30.90 Median $30.90 Typical High $51.29 | Professional | None | $30.90 | $30.90 | $51.29 |
Molina Setting Professional Modifier None Typical Low $6.76 Median $27.54 Typical High $45.71 | Professional | None | $6.76 | $27.54 | $45.71 |
United Setting Facility Modifier None Typical Low $51.29 Median $51.29 Typical High $51.29 | Facility | None | $51.29 | $51.29 | $51.29 |
United Setting Professional Modifier None Typical Low $23.44 Median $34.67 Typical High $102.33 | Professional | None | $23.44 | $34.67 | $102.33 |
Wellpoint Setting Professional Modifier None Typical Low $30.90 Median $30.90 Typical High $51.29 | Professional | None | $30.90 | $30.90 | $51.29 |
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 59 · Distinct service Typical Low $31.62 Median $31.62 Typical High $31.62 | Professional | 59 · Distinct service | $31.62 | $31.62 | $31.62 |
Where Florida sits
The same service costs 4.6 times more in South Carolina than in Connecticut. 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· 49th of 51
$37.15
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.