How much rates vary
Facilitymedian $135 · 10th to 90th $105 to $209Professionalmedian $135 · 10th to 90th $93 to $191
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 $93.33 Median $117.49 Typical High $165.96 | Facility | None | $93.33 | $117.49 | $165.96 |
Aetna Setting Professional Modifier None Typical Low $93.33 Median $123.03 Typical High $165.96 | Professional | None | $93.33 | $123.03 | $165.96 |
Ambetter Setting Professional Modifier None Typical Low $114.82 Median $165.96 Typical High $199.53 | Professional | None | $114.82 | $165.96 | $199.53 |
AvMed Setting Facility Modifier None Typical Low $162.18 Median $169.82 Typical High $213.80 | Facility | None | $162.18 | $169.82 | $213.80 |
AvMed Setting Professional Modifier None Typical Low $162.18 Median $169.82 Typical High $213.80 | Professional | None | $162.18 | $169.82 | $213.80 |
Cigna Setting Facility Modifier None Typical Low $275.42 Median $275.42 Typical High $275.42 | Facility | None | $275.42 | $275.42 | $275.42 |
Cigna Setting Professional Modifier None Typical Low $64.57 Median $117.49 Typical High $190.55 | Professional | None | $64.57 | $117.49 | $190.55 |
Florida Blue Setting Professional Modifier None Typical Low $141.25 Median $141.25 Typical High $162.18 | Professional | None | $141.25 | $141.25 | $162.18 |
Molina Setting Professional Modifier None Typical Low $158.49 Median $208.93 Typical High $281.84 | Professional | None | $158.49 | $208.93 | $281.84 |
United Setting Facility Modifier None Typical Low $204.17 Median $223.87 Typical High $223.87 | Facility | None | $204.17 | $223.87 | $223.87 |
United Setting Professional Modifier None Typical Low $141.25 Median $154.88 Typical High $204.17 | Professional | None | $141.25 | $154.88 | $204.17 |
Wellpoint Setting Professional Modifier None Typical Low $123.03 Median $158.49 Typical High $158.49 | Professional | None | $123.03 | $158.49 | $158.49 |
13 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 $123.03 Median $123.03 Typical High $158.49 | Facility | AF · Specialist physician | $123.03 | $123.03 | $158.49 |
Aetna Setting Facility Modifier HO · Master's level Typical Low $93.33 Median $93.33 Typical High $117.49 | Facility | HO · Master's level | $93.33 | $93.33 | $117.49 |
Aetna Setting Facility Modifier TD · Registered nurse Typical Low $104.71 Median $104.71 Typical High $134.90 | Facility | TD · Registered nurse | $104.71 | $104.71 | $134.90 |
Aetna Setting Professional Modifier AF · Specialist physician Typical Low $109.65 Median $123.03 Typical High $186.21 | Professional | AF · Specialist physician | $109.65 | $123.03 | $186.21 |
Aetna Setting Professional Modifier HO · Master's level Typical Low $93.33 Median $102.33 Typical High $154.88 | Professional | HO · Master's level | $93.33 | $102.33 | $154.88 |
Aetna Setting Professional Modifier TD · Registered nurse Typical Low $64.57 Median $104.71 Typical High $158.49 | Professional | TD · Registered nurse | $64.57 | $104.71 | $158.49 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $177.83 Median $177.83 Typical High $177.83 | Professional | 59 · Distinct service | $177.83 | $177.83 | $177.83 |
Ambetter Setting Professional Modifier 93 · Audio-only telehealth Typical Low $154.88 Median $169.82 Typical High $223.87 | Professional | 93 · Audio-only telehealth | $154.88 | $169.82 | $223.87 |
Ambetter Setting Professional Modifier AF · Specialist physician Typical Low $162.18 Median $162.18 Typical High $169.82 | Professional | AF · Specialist physician | $162.18 | $162.18 | $169.82 |
Ambetter Setting Professional Modifier GC · Resident with teaching physician Typical Low $128.82 Median $213.80 Typical High $213.80 | Professional | GC · Resident with teaching physician | $128.82 | $213.80 | $213.80 |
Ambetter Setting Professional Modifier HO · Master's level Typical Low $173.78 Median $173.78 Typical High $173.78 | Professional | HO · Master's level | $173.78 | $173.78 | $173.78 |
Ambetter Setting Professional Modifier Q5 · Substitute physician, reciprocal Typical Low $134.90 Median $134.90 Typical High $134.90 | Professional | Q5 · Substitute physician, reciprocal | $134.90 | $134.90 | $134.90 |
Ambetter Setting Professional Modifier SA · Nurse practitioner Typical Low $138.04 Median $138.04 Typical High $158.49 | Professional | SA · Nurse practitioner | $138.04 | $138.04 | $158.49 |
Where Florida sits
The same service costs 2.2 times more in North Dakota than in Kentucky. 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
$135
ND $295KY $132
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.