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 $69.18 Median $83.18 Typical High $112.20 | Facility | None | $69.18 | $83.18 | $112.20 |
Aetna Setting Professional Modifier None Typical Low $69.18 Median $83.18 Typical High $109.65 | Professional | None | $69.18 | $83.18 | $109.65 |
Ambetter Setting Professional Modifier None Typical Low $79.43 Median $81.28 Typical High $104.71 | Professional | None | $79.43 | $81.28 | $104.71 |
AvMed Setting Facility Modifier None Typical Low $100.00 Median $100.00 Typical High $107.15 | Facility | None | $100.00 | $100.00 | $107.15 |
AvMed Setting Professional Modifier None Typical Low $79.43 Median $91.20 Typical High $107.15 | Professional | None | $79.43 | $91.20 | $107.15 |
Cigna Setting Facility Modifier None Typical Low $173.78 Median $173.78 Typical High $173.78 | Facility | None | $173.78 | $173.78 | $173.78 |
Cigna Setting Professional Modifier None Typical Low $64.57 Median $70.79 Typical High $107.15 | Professional | None | $64.57 | $70.79 | $107.15 |
Florida Blue Setting Professional Modifier None Typical Low $47.86 Median $74.13 Typical High $79.43 | Professional | None | $47.86 | $74.13 | $79.43 |
Molina Setting Professional Modifier None Typical Low $79.43 Median $107.15 Typical High $134.90 | Professional | None | $79.43 | $107.15 | $134.90 |
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 $87.10 Median $93.33 Typical High $123.03 | Professional | None | $87.10 | $93.33 | $123.03 |
Wellpoint Setting Professional Modifier None Typical Low $100.00 Median $104.71 Typical High $104.71 | Professional | None | $100.00 | $104.71 | $104.71 |
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 $91.20 Median $91.20 Typical High $109.65 | Facility | AF · Specialist physician | $91.20 | $91.20 | $109.65 |
Aetna Setting Facility Modifier HO · Master's level Typical Low $69.18 Median $69.18 Typical High $83.18 | Facility | HO · Master's level | $69.18 | $69.18 | $83.18 |
Aetna Setting Facility Modifier TD · Registered nurse Typical Low $77.62 Median $77.62 Typical High $93.33 | Facility | TD · Registered nurse | $77.62 | $77.62 | $93.33 |
Aetna Setting Professional Modifier AF · Specialist physician Typical Low $85.11 Median $91.20 Typical High $112.20 | Professional | AF · Specialist physician | $85.11 | $91.20 | $112.20 |
Aetna Setting Professional Modifier HO · Master's level Typical Low $69.18 Median $69.18 Typical High $83.18 | Professional | HO · Master's level | $69.18 | $69.18 | $83.18 |
Aetna Setting Professional Modifier TD · Registered nurse Typical Low $77.62 Median $77.62 Typical High $93.33 | Professional | TD · Registered nurse | $77.62 | $77.62 | $93.33 |
Ambetter Setting Professional Modifier HO · Master's level Typical Low $77.62 Median $79.43 Typical High $79.43 | Professional | HO · Master's level | $77.62 | $79.43 | $79.43 |
Where Florida sits
The same service costs 1.8 times more in Alaska than in New Mexico. 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· 33rd of 51
$89.13
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.