How much rates vary
Facilitymedian $69 · 10th to 90th $52 to $87Professionalmedian $60 · 10th to 90th $48 to $78
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 $51.29 Median $60.26 Typical High $74.13 | Facility | None | $51.29 | $60.26 | $74.13 |
Aetna Setting Professional Modifier None Typical Low $51.29 Median $60.26 Typical High $70.79 | Professional | None | $51.29 | $60.26 | $70.79 |
Ambetter Setting Professional Modifier None Typical Low $47.86 Median $64.57 Typical High $85.11 | Professional | None | $47.86 | $64.57 | $85.11 |
AvMed Setting Facility Modifier None Typical Low $69.18 Median $70.79 Typical High $87.10 | Facility | None | $69.18 | $70.79 | $87.10 |
AvMed Setting Professional Modifier None Typical Low $67.61 Median $70.79 Typical High $87.10 | Professional | None | $67.61 | $70.79 | $87.10 |
Cigna Setting Facility Modifier None Typical Low $120.23 Median $120.23 Typical High $120.23 | Facility | None | $120.23 | $120.23 | $120.23 |
Cigna Setting Professional Modifier None Typical Low $34.67 Median $51.29 Typical High $74.13 | Professional | None | $34.67 | $51.29 | $74.13 |
Florida Blue Setting Professional Modifier None Typical Low $36.31 Median $60.26 Typical High $63.10 | Professional | None | $36.31 | $60.26 | $63.10 |
Molina Setting Professional Modifier None Typical Low $66.07 Median $104.71 Typical High $138.04 | Professional | None | $66.07 | $104.71 | $138.04 |
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 $56.23 Median $58.88 Typical High $79.43 | Professional | None | $56.23 | $58.88 | $79.43 |
Wellpoint Setting Professional Modifier None Typical Low $53.70 Median $66.07 Typical High $66.07 | Professional | None | $53.70 | $66.07 | $66.07 |
12 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 $67.61 Median $70.79 Typical High $70.79 | Facility | AF · Specialist physician | $67.61 | $70.79 | $70.79 |
Aetna Setting Facility Modifier HO · Master's level Typical Low $51.29 Median $52.48 Typical High $52.48 | Facility | HO · Master's level | $51.29 | $52.48 | $52.48 |
Aetna Setting Facility Modifier TD · Registered nurse Typical Low $57.54 Median $60.26 Typical High $60.26 | Facility | TD · Registered nurse | $57.54 | $60.26 | $60.26 |
Aetna Setting Professional Modifier AF · Specialist physician Typical Low $60.26 Median $70.79 Typical High $87.10 | Professional | AF · Specialist physician | $60.26 | $70.79 | $87.10 |
Aetna Setting Professional Modifier HO · Master's level Typical Low $51.29 Median $52.48 Typical High $66.07 | Professional | HO · Master's level | $51.29 | $52.48 | $66.07 |
Aetna Setting Professional Modifier TD · Registered nurse Typical Low $57.54 Median $60.26 Typical High $75.86 | Professional | TD · Registered nurse | $57.54 | $60.26 | $75.86 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $85.11 Median $85.11 Typical High $85.11 | Professional | 59 · Distinct service | $85.11 | $85.11 | $85.11 |
Ambetter Setting Professional Modifier 93 · Audio-only telehealth Typical Low $57.54 Median $63.10 Typical High $64.57 | Professional | 93 · Audio-only telehealth | $57.54 | $63.10 | $64.57 |
Ambetter Setting Professional Modifier FQ · Audio-only Typical Low $85.11 Median $85.11 Typical High $85.11 | Professional | FQ · Audio-only | $85.11 | $85.11 | $85.11 |
Ambetter Setting Professional Modifier GC · Resident with teaching physician Typical Low $66.07 Median $66.07 Typical High $66.07 | Professional | GC · Resident with teaching physician | $66.07 | $66.07 | $66.07 |
Ambetter Setting Professional Modifier GZ · Expected denial Typical Low $42.66 Median $42.66 Typical High $57.54 | Professional | GZ · Expected denial | $42.66 | $42.66 | $57.54 |
Ambetter Setting Professional Modifier HO · Master's level Typical Low $52.48 Median $58.88 Typical High $63.10 | Professional | HO · Master's level | $52.48 | $58.88 | $63.10 |
Where Florida sits
The same service costs 1.9 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· 39th of 51
$60.26
ND $100KY $53.70
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.