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 $60.26 Median $87.10 Typical High $114.82 | Facility | None | $60.26 | $87.10 | $114.82 |
Aetna Setting Professional Modifier None Typical Low $69.18 Median $81.28 Typical High $109.65 | Professional | None | $69.18 | $81.28 | $109.65 |
AvMed Setting Facility Modifier None Typical Low $79.43 Median $83.18 Typical High $107.15 | Facility | None | $79.43 | $83.18 | $107.15 |
AvMed Setting Professional Modifier None Typical Low $79.43 Median $97.72 Typical High $109.65 | Professional | None | $79.43 | $97.72 | $109.65 |
Cigna Setting Facility Modifier None Typical Low $138.04 Median $138.04 Typical High $138.04 | Facility | None | $138.04 | $138.04 | $138.04 |
Cigna Setting Professional Modifier None Typical Low $70.79 Median $75.86 Typical High $128.82 | Professional | None | $70.79 | $75.86 | $128.82 |
Florida Blue Setting Professional Modifier None Typical Low $72.44 Median $72.44 Typical High $87.10 | Professional | None | $72.44 | $72.44 | $87.10 |
Molina Setting Professional Modifier None Typical Low $79.43 Median $104.71 Typical High $138.04 | Professional | None | $79.43 | $104.71 | $138.04 |
United Setting Facility Modifier None Typical Low $117.49 Median $125.89 Typical High $125.89 | Facility | None | $117.49 | $125.89 | $125.89 |
United Setting Professional Modifier None Typical Low $61.66 Median $93.33 Typical High $177.83 | Professional | None | $61.66 | $93.33 | $177.83 |
Wellpoint Setting Professional Modifier None Typical Low $79.43 Median $102.33 Typical High $104.71 | Professional | None | $79.43 | $102.33 | $104.71 |
6 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 $81.28 | Facility | HO · Master's level | $69.18 | $69.18 | $81.28 |
Aetna Setting Facility Modifier TD · Registered nurse Typical Low $77.62 Median $77.62 Typical High $91.20 | Facility | TD · Registered nurse | $77.62 | $77.62 | $91.20 |
Aetna Setting Professional Modifier AF · Specialist physician Typical Low $85.11 Median $91.20 Typical High $109.65 | Professional | AF · Specialist physician | $85.11 | $91.20 | $109.65 |
Aetna Setting Professional Modifier HO · Master's level Typical Low $69.18 Median $69.18 Typical High $81.28 | Professional | HO · Master's level | $69.18 | $69.18 | $81.28 |
Aetna Setting Professional Modifier TD · Registered nurse Typical Low $77.62 Median $77.62 Typical High $91.20 | Professional | TD · Registered nurse | $77.62 | $77.62 | $91.20 |
Where Florida sits
The same service costs 2.3 times more in Hawaii than in Arizona. 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
$81.28
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.