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 $79.43 Median $104.71 Typical High $131.83 | Facility | None | $79.43 | $104.71 | $131.83 |
Aetna Setting Professional Modifier None Typical Low $93.33 Median $114.82 Typical High $144.54 | Professional | None | $93.33 | $114.82 | $144.54 |
Ambetter Setting Professional Modifier None Typical Low $100.00 Median $120.23 Typical High $158.49 | Professional | None | $100.00 | $120.23 | $158.49 |
AvMed Setting Facility Modifier None Typical Low $128.82 Median $131.83 Typical High $162.18 | Facility | None | $128.82 | $131.83 | $162.18 |
AvMed Setting Professional Modifier None Typical Low $128.82 Median $134.90 Typical High $162.18 | Professional | None | $128.82 | $134.90 | $162.18 |
Cigna Setting Facility Modifier None Typical Low $223.87 Median $223.87 Typical High $223.87 | Facility | None | $223.87 | $223.87 | $223.87 |
Cigna Setting Professional Modifier None Typical Low $100.00 Median $223.87 Typical High $229.09 | Professional | None | $100.00 | $223.87 | $229.09 |
Florida Blue Setting Professional Modifier None Typical Low $81.28 Median $112.20 Typical High $120.23 | Professional | None | $81.28 | $112.20 | $120.23 |
Molina Setting Professional Modifier None Typical Low $131.83 Median $177.83 Typical High $223.87 | Professional | None | $131.83 | $177.83 | $223.87 |
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 $107.15 Median $112.20 Typical High $147.91 | Professional | None | $107.15 | $112.20 | $147.91 |
Wellpoint Setting Professional Modifier None Typical Low $128.82 Median $158.49 Typical High $158.49 | Professional | None | $128.82 | $158.49 | $158.49 |
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 $123.03 Median $123.03 Typical High $144.54 | Facility | AF · Specialist physician | $123.03 | $123.03 | $144.54 |
Aetna Setting Facility Modifier HO · Master's level Typical Low $93.33 Median $93.33 Typical High $107.15 | Facility | HO · Master's level | $93.33 | $93.33 | $107.15 |
Aetna Setting Facility Modifier TD · Registered nurse Typical Low $104.71 Median $104.71 Typical High $123.03 | Facility | TD · Registered nurse | $104.71 | $104.71 | $123.03 |
Aetna Setting Professional Modifier AF · Specialist physician Typical Low $114.82 Median $123.03 Typical High $144.54 | Professional | AF · Specialist physician | $114.82 | $123.03 | $144.54 |
Aetna Setting Professional Modifier HO · Master's level Typical Low $70.79 Median $93.33 Typical High $107.15 | Professional | HO · Master's level | $70.79 | $93.33 | $107.15 |
Aetna Setting Professional Modifier TD · Registered nurse Typical Low $70.79 Median $104.71 Typical High $123.03 | Professional | TD · Registered nurse | $70.79 | $104.71 | $123.03 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $120.23 Median $120.23 Typical High $120.23 | Professional | 59 · Distinct service | $120.23 | $120.23 | $120.23 |
Where Florida sits
The same service costs 1.7 times more in North Dakota than in Ohio. 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· 37th of 51
$123
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.