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 $3.24 Median $3.24 Typical High $15.14 | Facility | None | $3.24 | $3.24 | $15.14 |
Aetna Setting Professional Modifier None Typical Low $3.24 Median $4.27 Typical High $15.14 | Professional | None | $3.24 | $4.27 | $15.14 |
Ambetter Setting Professional Modifier None Typical Low $10.00 Median $10.96 Typical High $13.49 | Professional | None | $10.00 | $10.96 | $13.49 |
AvMed Setting Facility Modifier None Typical Low $11.75 Median $11.75 Typical High $14.79 | Facility | None | $11.75 | $11.75 | $14.79 |
AvMed Setting Professional Modifier None Typical Low $11.75 Median $13.18 Typical High $15.14 | Professional | None | $11.75 | $13.18 | $15.14 |
Cigna Setting Facility Modifier None Typical Low $20.42 Median $20.42 Typical High $20.42 | Facility | None | $20.42 | $20.42 | $20.42 |
Cigna Setting Professional Modifier None Typical Low $2.82 Median $4.27 Typical High $14.13 | Professional | None | $2.82 | $4.27 | $14.13 |
Florida Blue Setting Professional Modifier None Typical Low $3.98 Median $10.23 Typical High $10.96 | Professional | None | $3.98 | $10.23 | $10.96 |
Molina Setting Professional Modifier None Typical Low $5.37 Median $7.41 Typical High $12.59 | Professional | None | $5.37 | $7.41 | $12.59 |
United Setting Professional Modifier None Typical Low $11.22 Median $11.75 Typical High $15.49 | Professional | None | $11.22 | $11.75 | $15.49 |
Wellpoint Setting Professional Modifier None Typical Low $6.17 Median $6.46 Typical High $6.46 | Professional | None | $6.17 | $6.46 | $6.46 |
7 more rates 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 |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier AF · Specialist physician Typical Low $4.27 Median $4.27 Typical High $15.14 | Facility | AF · Specialist physician | $4.27 | $4.27 | $15.14 |
Aetna Setting Facility Modifier HO · Master's level Typical Low $3.24 Median $3.24 Typical High $11.48 | Facility | HO · Master's level | $3.24 | $3.24 | $11.48 |
Aetna Setting Facility Modifier TD · Registered nurse Typical Low $3.63 Median $3.63 Typical High $12.88 | Facility | TD · Registered nurse | $3.63 | $3.63 | $12.88 |
Aetna Setting Professional Modifier AF · Specialist physician Typical Low $3.98 Median $4.27 Typical High $15.14 | Professional | AF · Specialist physician | $3.98 | $4.27 | $15.14 |
Aetna Setting Professional Modifier HO · Master's level Typical Low $2.95 Median $3.24 Typical High $11.48 | Professional | HO · Master's level | $2.95 | $3.24 | $11.48 |
Aetna Setting Professional Modifier TD · Registered nurse Typical Low $3.39 Median $3.63 Typical High $12.88 | Professional | TD · Registered nurse | $3.39 | $3.63 | $12.88 |
Ambetter Setting Professional Modifier HO · Master's level Typical Low $10.00 Median $10.23 Typical High $13.18 | Professional | HO · Master's level | $10.00 | $10.23 | $13.18 |
Where Florida sits
The same service costs 1.8 times more in Alaska than in Georgia. 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· 50th of 51
$10.23
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.