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 $87.10 Typical High $114.82 | Facility | None | $69.18 | $87.10 | $114.82 |
Aetna Setting Professional Modifier None Typical Low $69.18 Median $87.10 Typical High $114.82 | Professional | None | $69.18 | $87.10 | $114.82 |
Ambetter Setting Professional Modifier None Typical Low $72.44 Median $81.28 Typical High $109.65 | Professional | None | $72.44 | $81.28 | $109.65 |
AvMed Setting Facility Modifier None Typical Low $102.33 Median $104.71 Typical High $112.20 | Facility | None | $102.33 | $104.71 | $112.20 |
AvMed Setting Professional Modifier None Typical Low $89.13 Median $104.71 Typical High $112.20 | Professional | None | $89.13 | $104.71 | $112.20 |
Cigna Setting Facility Modifier None Typical Low $177.83 Median $177.83 Typical High $177.83 | Facility | None | $177.83 | $177.83 | $177.83 |
Cigna Setting Professional Modifier None Typical Low $64.57 Median $74.13 Typical High $120.23 | Professional | None | $64.57 | $74.13 | $120.23 |
Florida Blue Setting Professional Modifier None Typical Low $75.86 Median $75.86 Typical High $89.13 | Professional | None | $75.86 | $75.86 | $89.13 |
Molina Setting Professional Modifier None Typical Low $79.43 Median $107.15 Typical High $141.25 | Professional | None | $79.43 | $107.15 | $141.25 |
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 $91.20 Median $95.50 Typical High $128.82 | Professional | None | $91.20 | $95.50 | $128.82 |
Wellpoint Setting Professional Modifier None Typical Low $79.43 Median $85.11 Typical High $85.11 | Professional | None | $79.43 | $85.11 | $85.11 |
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 $114.82 | Facility | AF · Specialist physician | $91.20 | $91.20 | $114.82 |
Aetna Setting Facility Modifier HO · Master's level Typical Low $69.18 Median $69.18 Typical High $87.10 | Facility | HO · Master's level | $69.18 | $69.18 | $87.10 |
Aetna Setting Facility Modifier TD · Registered nurse Typical Low $77.62 Median $77.62 Typical High $97.72 | Facility | TD · Registered nurse | $77.62 | $77.62 | $97.72 |
Aetna Setting Professional Modifier AF · Specialist physician Typical Low $70.79 Median $85.11 Typical High $114.82 | Professional | AF · Specialist physician | $70.79 | $85.11 | $114.82 |
Aetna Setting Professional Modifier HO · Master's level Typical Low $60.26 Median $69.18 Typical High $87.10 | Professional | HO · Master's level | $60.26 | $69.18 | $87.10 |
Aetna Setting Professional Modifier TD · Registered nurse Typical Low $60.26 Median $77.62 Typical High $97.72 | Professional | TD · Registered nurse | $60.26 | $77.62 | $97.72 |
Ambetter Setting Professional Modifier HO · Master's level Typical Low $74.13 Median $81.28 Typical High $81.28 | Professional | HO · Master's level | $74.13 | $81.28 | $81.28 |
Where Florida sits
The same service costs 1.7 times more in Alaska 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· 41st of 51
$87.10
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.